MHA507 SLP 2

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MHA507Module2BACKGROUND.docx

MHA507 Module 2 - Background

Managed Care and Accountable Care Organizations

Required Reading

Andrews, M. (2014). What’s the best health plan for you? HMO, PPO, EPO or POS? Retrieved from https://www.washingtonpost.com/national/health-science/whats-the-best-health-plan-for-you-hmo-ppo-epo-or-pos/2014/08/25/772f96a8-27c1-11e4-958c-268a320a60ce_story.html?utm_term=.51bd23ba540e

Gabel, J., & Ermann, D. (1985). Preferred provider organizations: Performance, problems, and promise. Health Affairs, 4(1), 24–40.

Plunkett, L. (2015). Accountable care organizations. New York State Dental Journal, 81(3), 4–7.

Healthcare Transformation Institute. (n.d.). Healthcare delivery models. Retrieved from http://www.healthcaretransformationinstitute.org/page/healthcare-delivery-models

Haas, S. (n.d.). Health Reform Act: New models of care and delivery systems. Retrieved from https://www.aaacn.org/health-reform-act-new-models-care-and-delivery-systems

Humana. (n.d.). HMO vs. PPO: Which one is right for you? Retrieved from https://www.humana.com/all-products/understanding-insurance/hmo-vs-ppo

Rural Health Information Hub. (2017). Healthcare access in rural communities. Retrieved from https://www.ruralhealthinfo.org/topics/healthcare-access

Shi, L., & Singh, D. (2017). Chapter 1: Major characteristics of U.S. health care delivery. In Essentials of the U.S. health care system (4th Ed.). Burlington, MA: Jones & Bartlett Learning. Available in the Trident Online Library.

Videos

BrainForestTV. (2014, September 18). Accountable Care Organizations (ACOs) explained in 1 minute [Video file]. Retrieved from https://www.youtube.com/watch?v=flYzHZwDH_0

Humana. (2013, June 25). What are PPOs and HMOs? | Humana [Video file]. Retrieved from https://www.youtube.com/watch?v=ii2H5eCGxx8&pbjreload=10

FAIR Health. (2017, November 1). Point of service (POS) (Part 4 of 8)—FAIRHealthConsumer.org [Video file]. Retrieved from https://www.youtube.com/watch?v=gm5eKYjcZbc

TheMinaSara. (2015, December 21). History of managed care [Video file]. Retrieved from https://www.youtube.com/watch?v=SoExSvjPnh0

Optional Reading

Holman, P. (1985). Healthy competition: HMOs vs. PPOs vs. Blue Cross. Executive Report, 3(7).