Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Health Policy discussion 2 responses

25/09/2020 Client: saeed Deadline: 10 Days

Review other posts submitted by your classmates. Respond to at least two other posts. In your responses, pretend that you are a citizen in the affected suburb. How might the transfer rate affect how you perceive Hospital A? How could long wait times for primary care services affect how you use care in your community?


What needs do you have that impact how you perceive Hospital A and other medical providers in your community? How would you challenge the approach taken by author of the original post?


Post #1


Rachel Watson 


Assuming I am a compliance officer and am contacted by a reported regarding the recent changes at the hospital, my first action would be to research the utilization rates, specifically what is causing the change in transfer rates in addition to the changes in payer mix and any correlation between those elements. The most important element is patient care and whether quality care is being provided to patients whether they remain at the hospital or are transferred elsewhere, regardless of ability to pay. As a compliance officer, I would look diligently into why the payer mix has shifted. Research indicates private insurers and commercial insurance pay almost double that of Medicare and Medicaid, therefore reimbursement from commercial insurances are vital for hospital financial success (Lopez, Neuman, Jacobson & Levitt, 2020). That being said, in the case of Hospital A, the sudden decrease of commercial payers have left the hospital, and more importantly the providers in a situation where medical efficiency is of upmost importance. One of the issues I find of interest in this situation is the wait for primary care visits in the community. Waiting nearly three months for a routine appointment leads to an assumption that many patients are over-utilizing the ER for primary care visits, thus inundating the ER physicians with an overwhelming amount of patients. Another consideration for research prior to discussing with the reporter is the average length of stay. The length of stay decreased nearly 50% in the last 3 months, which correlates with the change in payer mix and also the increased transfer rate, therefore further research will need to be conducting to analyze the cost-effectiveness of transfers and also patient satisfaction regarding the transfer of care. Nonetheless, my discussions with the reporter will offer some of the following information:



  • Whether community needs are being addressed and how the hospital will move forward to better address needs and patient services

  • Remaining on the side that patient care and safety are the most important aspect regardless of the changes

  • Strategic planning initiatives to actively tackle concerns for long PCM waits, overwhelmed ER and increased transfer waits such as telehealth, mobile care clinics and virtual provider appointments


Among several issues that could arise regarding community values, one is that the hospital appears to be financially driven rather than caring about patients by transferring them up to 30 minutes away, in which they may not have family support or access to services in their own community. Reviewing the organizations community needs assessment (if they are non-profit and have one) or acquiring a community needs assessment could better position the hospital to care for the community and better meet the needs of the patients and the providers by being more proactive with healthcare.




References 


Lopez, E., Neuman, T., Jacobson, G., & Levitt, L. (2020, April 15). How much more than Medicare do private insurers pay? A review of the literature. Kaiser Family Foundation. https://www.kff.org/medicare/issue-brief/how-much-more-than-medicare-do-private-insurers-pay-a-review-of-the-literature/


Post #2


Maria Duarte Bracamontes 


The change in payer mix at Hospital A will definitely cause a big change. The change from “one third commercial, one third Medicaid, and one third Medicare, to nearly two thirds Medicaid and one third Medicare” now means that there is a larger flow of patients, as more of them can now receive services. Medicare is a federal program that provides health coverage for individuals 65 years of age or older. They also provide services for individuals with a disability who are 65 years of age or younger. Medicaid on the other hand, is a state and federal program that provides health coverage for anyone with low incomes (Differences between Medicare and Medicaid, 2020). As these kinds of federal and state programs take over the majority of payer mix for hospital A, it is certain that the hospital will now have more patients, which will increase wait times in both emergency departments and with PCP’s, as individuals can now receive more care. 


As a compliance officer for Hospital A, I would gather as much information possible as to why the drastic change in payer mix in the hospital. I would also want more information on how effective patient care is being fulfilled within the hospital, as providers report being overwhelmed. I would be concerned on how community values are also changing because of the payer mix, especially with the 30-minute transportations that is happening to other hospitals. If patients go to a hospital and are then transported 30 minutes away to another, it may risk the hospitals reputation as unqualified or incapable of providing care to the community when needed.  


While talking to the reporter I would make sure to address the way Hospital A will be administered after this payer mix. This would include the hiring of more physicians, physician assistants and nurse practitioners so that primary care visits do not have such long waiting periods before appointments. According to the Academy of Physician Assistants, research shows that PA’s increase the access to care (Cheney, 2019) which is exactly what we want happening at Hospital A. The purpose of hiring more healthcare professionals like physicians and physicians’ assistants will help with the long waiting periods and more patients will be able to be seen, all while keeping the quality of patient care. 


Resources:


Cheney, C. (2019). Why Physician Assistants and Nurse Practitioners Need Supervision, Say Physician Groups. HealthLeaders Media. https://www.healthleadersmedia.com/clinical-care/why-physician-assistants-and-nurse-practitioners-need-supervision-say-physician-groups.


Differences between Medicare and Medicaid. (2020). https://www.medicareinteractive.org/get-answers/medicare-basics/medicare-coverage-overview/differences-between-medicare-and-medicaid.

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Top Academic Guru
Assignment Hub
Homework Guru
University Coursework Help
Writing Factory
Exam Attempter
Writer Writer Name Offer Chat
Top Academic Guru

ONLINE

Top Academic Guru

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$205 Chat With Writer
Assignment Hub

ONLINE

Assignment Hub

I feel, I am the best option for you to fulfill this project with 100% perfection. I am working on this forum since 2014 and I have served more than 1200 clients with a full amount of satisfaction.

$225 Chat With Writer
Homework Guru

ONLINE

Homework Guru

I am a Ph.D. writer with more than 9 years of working experience in Writing. I have successfully completed more than 4500 projects for my clients with their full amount of satisfaction. I will provide you super quality work according to your given requirements and deadline with ZERO plagiarism.

$210 Chat With Writer
University Coursework Help

ONLINE

University Coursework Help

Greetings! I’m very much interested to write for attendance systems. I am a Professional Writer with over 5 years of experience, therefore, I can easily do this job. I will also provide you with TURNITIN PLAGIARISM REPORT. You can message me to discuss the details.

$210 Chat With Writer
Writing Factory

ONLINE

Writing Factory

I can help you with creating a presentation of one slide for The Word of William Hunter. I will be happy to offer you 100% original work with high-quality standard, professional research and writing services of various complexities.

$195 Chat With Writer
Exam Attempter

ONLINE

Exam Attempter

I will help you with your online exams, quizzes and assignment with A+ grades. Please give me a chance and get relax :)

$210 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Inverse square law of heat - Resonances and dissonances plath and hughes - Lebron james outline - 1.87 miles in km - Herbage essence speckle removing cream made in japan - Java Hw - Ragdale hall spa products - Hard rock cafe operations management in services - The american fur company case study - 8 44 overtime rule alberta - The curious researcher chapter 1 pdf - EXCEL- Intervals - Equivocation fallacy advertisements - Ifsm 300 stage 2 cic hiring process - ECON Data Paper - Philosophy of therapeutic recreation - Ifsm 300 stage 2 cic hiring process - BE JA-5 - Tina jones abdominal assessment answers - Hadees e kisa full - A microeconomist as opposed to a macroeconomist might study - Work and kinetic energy physics lab report - Why is sti considered a scientifically controversial strategy - Boston sea rovers internship - Rotary cutter parts diagram - Hbdi assessment test online - Book week display ideas - On the job movie reaction paper - Tanya maria barrientos se habla español - Wave on a string simulation - A visionary organization must specify its foundation, set a direction, and formulate - Hazardous waste csu - Chipotle expansion strategy - Statistics hypothosis paper APA - Wk 2, HCS 355: Organizational Research - A & P II #2 - Social learning theory ppt slideshare - Hacker handbooks com writersref 8th edition - Icandy apple 2 pear seat unit age - Ap lab report format - Discuss the use of cloud backup strategies - The puzzle of motivation ted talk - International Studies Paper - Finance assignment - Discussion- Hero In Film - Igolder encryption - Edward de bono concept fan - Team contract template in project management - Richard burton poetry recordings - Professional communication cultural sensitivity guide - W#15 Health Promotion replies - Tauck grand canadian rockies - Accounting - The world according to humphrey questions - Lion's bride gwen harwood - Denise naslund mother death - Revenue & sales corporation and software solutions - How the army runs pdf - Patagonia workbook process - Ethica and Legal Aspects of Nursing Practice DQ # 8 week 5 - Backward Design Unit Plan - Uniform gradient present worth excel - Gilliam autism rating scale score interpretation - Aero dynamik consult gmbh - Hither and thither gift guide - Dc circuit physics lab report - Hebrews 10 26 greek - The life span human development for helping professionals 4th ed - Anton drexler death cause - Advantages and disadvantages of green computing - Memory Revised - R roosevelt thomas jr generic action options - James patterson 18th abduction tesco - Where do terrigenous sediments accumulate - The government has set a price floor on bread - Famoso adele mi hermana - Bunsen burner temperature range - Fry brothers heating and air conditioning - Project Selection, Charter, and Work Breakdown Structure - Statdisk online - Royal holloway personal statement - 640wk2A - Nursing - ESSAY PAPER (Doctoral Level) - Profit-Cost-Volume relationship & Variable Costing - American beauty quotes carolyn - Exploring slope high ratio mountain activity 11 answers - W8 bus dis - How values affect choices - Student integrity - Garden court north chambers - Pacific breakers bribie island - The drover's wife themes - Transactional model of communication example situation - Gold coast council town planning - Chipotle mexican grill case study - Explain the principles and practice of case management - How to preserve polaroids - Bilkus and boyle cardonald - Pay von maur credit card online - D7