Assignment: Healthcare Coverage Models

Assignment: Healthcare Coverage Models

Assignment: Healthcare Coverage Models

Question Description
I don’t understand this Nursing question and need help to study.

Start by reading and following these instructions:

Quickly skim the questions or assignment below and the assignment rubric to help you focus.
Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
Consider the discussion and the any insights you gained from it.
Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
Assignment:

For this assignment, you create a Power Point Presentation discussion ACA and health insurance. Address the following questions in the presentation

Title slide
Discuss in your own words at least 2 advantages and 2 disadvantages to MCO’s (2-3 slides)
Discuss the specific characteristics of HMO’s (how are HMO’s different from other plans?) (2-3 slides)
Discuss the specific characteristics of PPO’s (2 to 3 slides)
In your own words, explain how Obamacare/Affordable Care Act has changed healthcare in America. (3-4 slides)
Show the case scenarios (below) (4-6 slides)
In each case scenario that follows, calculate the financial responsibility of the patient and/or carrier and the discounted amount that the physician must write off. Show calculations and identify amounts. Student should complete each case on a separate slide. Students can place the questions on the slide, then provide the answers with calculations.

Felix Grossman was seen today for an upper respiratory infection. Total charges for today’s services are $140. The allowed amount is $90. What is the discount amount and the amount the carrier pays to the provider?
Emma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What is the patient responsibility, discount amount, and the amount the carrier pays provider?
Mabel Smith was seen in the office today for a checkup on her rheumatoid arthritis. Total charges are $85. The allowed amount is $52. She has a copay of $10. What is the discount amount, and the amount the carrier pays provider?
Rufus Durst had a cholecystectomy performed today. Total charges are $2995.70. His benefits pay 60 percent of this procedure. The allowed amount is $1745.32. What is the patient responsibility amount, discount amount, and the amount the carrier pays? What amount will the physician write off?
For this section, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. If you include pictures, you pictures should also be referenced and cited.

Assignment Expectations:

Length:
15 – 21 slides
Use the tips at http://www.garrreynolds.com/preso-tips/design/ to create the slideshow.
Because good PowerPoints have very few words, submit a script that describes the content of each slide – about 50 words per slide. Place this script in a separate Word document that shows each slide number and the text for each slide as shown in the provided PowerPoint Slide Notes.docx.
Structure:
Include a title page and reference page in APA style
References:
References are not required; however, you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions
Format:
save your assignment as a Microsoft PowerPoint

Assignment: Healthcare Coverage Models

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.