Assignment: HCA 530 Health Care Payers Case Study

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HCA530 Health Care Policies & Economics

Week 7 Assignment

Health Care Payers Case Study

Scenario: A patient is confused about how to make payments for a recent visit to urgent care and hospital stay. Her insurance provider website allows her to use her HSA account to make a payment online. She uses her HSA debit card to make the payment, but her insurance provider sends her a check instead of sending it to the Tri-City HealthCare Agency. After contacting her insurance help desk via the website, she is told to send the check to Tri-City HealthCare agency herself. The patient asks the insurance provider help desk representative why they can’t just make the payments for her. She is told about the various payment types and payers in the healthcare industry and how the market influences the integrated delivery systems in the industry.

Assignment: HCA 530 Health Care Payers Case StudyAfter reading the scenario, answer the following (75-100 words each answer) in a separate document:

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1. Describe the payer systems mentioned in the case study.

2. Explain how the market forces have influenced the need for integrated delivery systems.

3. How might the insurance provider explain the payment system they utilize for their clients? Explain if this method is effective or not for their clients.

4. What might be the most significant legal and regulatory effect on managed care organizations?

Assignment: HCA 530 Health Care Payers Case StudyAPA style is not required, but solid academic writing is expected. All references need to be in APA format.

Assignment: HCA 530 Health Care Payers Case StudyThis assignment uses a scoring guide. Please review the scoring guide prior to beginning the assignment to become familiar with the expectations for successful completion.

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Instructor’s Comment

Instructors Comments:Hi Irene, Qualitative Feedback: You completed this assignment in a detailed and complete manner. You included a comparison of research in relation to methodology in a focused manner with supporting details. A comparison of research in relation to goals and data collection is well developed with supporting details included. Number of required resources is met; APA format intact. Quantitative Feedback: please see the rubric.

Irene

Instructor's Comments:Hi Irene, Your initial post answered the question and provoked further discussion. You included information and rationale to support your discussion. Relevant citations were included.

Irene2

nstructor's Comments:Hi Irene, Your initial post was detailed and included relevant information. You provided insight into our discussions. You included information and rationale to support your discussion. Appropriate citations were included.

Irene 4

Instructor's Comments:Hi Irene, Thank you! Your post was comprehensive. You answered the question with detail and provided specific examples. Sources were relevant and recent.

Irene 4

Instructor's Comments:Hi Irene, Thank you for your response! Your ideas were presented in a logical manner. Details and examples were provided to support your thoughts. Relevant resources grounded your ideas in the literature.