Module 3 Case

Module 3 - Background

MANAGED CARE, ACCOUNTABLE CARE ORGANIZATIONS, HEALTH CARE CONSUMER PLANS/MODELS

Required Reading

Blanchfield, B. B. (2019, Dec 23). Value-based care, not volume-based: The traditional fee-for-service “churn and earn" scenario, where the number of patients directly correlates to dollars earned is a disaster. Boston Globe. Retrieved from the Trident Online Library

Brillstein, L. (2020). Value-based care: Rethink, unclench, invite. Managed Healthcare Executive, 30(9), 4. Retrieved from the Trident Online Library.

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

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

Shi, L., & Singh, D. A. (2017). Chapter 9 Managed care and integrated systems. In Essentials of the U.S. health care system (4th ed.). Burlington, MA: Jones & Bartlett Learning. Retrieved from the Trident Online Library.

World Health Organization. (n.d.). Health care delivery models. Retrieved from  https://www.who.int/hac/techguidance/tools/disrupted_sectors/module_07/en/index3.html

Wood, D. (2013). Providers getting creative with new healthcare delivery models. Retrieved from  https://www.amnhealthcare.com/latest-healthcare-news/provider-getting-creative-new-healthcare-delivery-models/

Videos

Aetna. (2017). What’s the difference between an HMO, a POS, and a PPO? | Health care answers in 60 seconds. [Video file]. Retrieved from  https://youtu.be/lvRetvxWjQY

Kaiser Health News. (2015). The ABC’s of ACO’s. Retrieved from  https://youtu.be/oV5rxViCf9U

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