Order ID	53563633773
Type	Essay
Writer Level	Masters
Style	APA
Sources/References	4
Perfect Number of Pages to Order	5-10 Pages

Description/Paper Instructions

RUBRIC:

Peer interaction: 20 pts

20 pts

Exceptional

One post written in response to fellow learners’ post and is between 100-150 words. Response is substantive insightful and contain at least one reference.

Grammar, Syntax & APA formatting: Postings contain no grammatical or typographical errors. Citations in the post adhere to APA format as well as references noted at the end of the post (one to two errors). (Example: excluding double-spacing and indentation of the second and subsequent lines within the reference). No more than 25% of your paper should be direct quotes.

STUDENTS’ POST 1

What is driving the swift departure from volume to value in the US healthcare payment system?

The swift departure from volume to value in the United States healthcare payment system models motivates both patients and providers. More focused efficient care of the patient is expected in a value-based healthcare payment system. Traditionally providers were paid according to the quantity of service provided. The new care model providers are expected to appropriate care like managing blood pressure, reducing smoking, attending to nutrition eg maintaining health, and addressing more upstream health considerations (Hazelzet & Van Weert 2021).

What are the potential pitfalls and benefits of coordinated care models from the perspective of the patients?

Patients now also pay a higher portion of the overall costs through increased premiums. There has been a lot of cost-shifting to patients through deductibles and co-insurances (Who benefits from moving health care from volume to value, n.d.). So, patients also have a bigger stake in understanding and managing the costs of their own care than they did in the past.

What are the potential pitfalls and benefits of coordinated care models from the perspective of the providers?

Providers are beginning to be paid based not only on the quality of their outcomes but also on the efficiencies of their practices. They are being given more information about the costs of the resources they use. More providers are now entering shared risk or global payment models, like bundled payments, accountable care, or shared savings (Hazelzet & Van Weert 2021).

. These payment models challenge providers to address patient and population needs over a long period of time, not just encounter by encounter.

Policy and Advocacy Policy development at the federal level can motivate new population health efforts. What are the key considerations in the process of policy development? Who are some of the key governmental players you would collaborate with?

A policy network consists of a set of individuals with interests in various policy domains and the ability to determine policy success or failure (Health reform and state health legislative initiatives, n.d.) Aside from politicians and government employees who are involved in policy development, the network can entail a variety of representatives from academic research institutes, the private industry, various interest groups, journalists, and investors. Health costs account for about one-third of state budgets, ranging from financing Medicaid to paying for state employees and other populations, such as prisoners (Pomeranz & Silver2020). State legislatures make thousands of health policy decisions each year, including improving access to appropriate care, determining who should be immunized, licensing health professionals and facilities, and supporting or rejecting initiatives to keep people healthy. The key government player I would like to involve is the local health officials of the public health because they are directly involved to improve human life.

References

Hazelzet, J., & Van Weert, N. (2021). Personalized health care as value-based care. Personalized Specialty Care, 7-15. https://doi.org/10.1007/978-3-030-63746-0_2 (Links to an external site.)

Health reform and state health legislative initiatives. (n.d.). Legislative News, Studies and Analysis | National Conference of State Legislatures. https://www.ncsl.org/research/health.aspx (Links to an external site.)

Pomeranz, J. L., & Silver, D. (2020). State Legislative Strategies to Pass, Enhance, and Obscure Preemption of Local Public Health Policy-Making. American Journal of Preventive Medicine, 59(3), 333–342. https://doi.org/10.1016/j.amepre.2020.03.023

Who benefits from moving health care from volume to value? (n.d.). Improving Health and Health Care Worldwide | IHI – Institute for Healthcare Improvement. https://www.ihi.org/communities/blogs/who-benefits-from-moving-health-care-from-volume-to-value (Links to an external site.)

STUDENT’S POST 2:

It’s easier for providers to focus on the patient as a whole when their financial interests are aligned with those of the health care system as a whole. Value-based models encourage health systems to satisfy patients’ needs earlier in the process and in environments with lower acuity than ever before. So that people may avoid spending more money on pricey emergency treatment, they force healthcare systems to enhance access and outreach (Rech Ramos, 2021). Engaging with healthcare providers is critical. Patients no longer rely only on doctors for medical treatment. These individuals have been brought together as a team to provide the best possible treatment for patients. Those who work in this approach include medical professionals, medical assistants, nurses, care coordinators, social workers, and mental health practitioners.

Patients will be able to access the best treatment at a lower cost because to this system’s emphasis on value. Preventative treatment, which is less expensive than treating a chronic disease like diabetes, hypertension, or obesity, is prioritized in value-based healthcare systems (Lashko, 2021). Physicians and other healthcare practitioners are also concerned with the most effective ways to aid patients in recovering from disease or injury. Less visits to the doctor, medical tests, and medical treatments are required under a value-based healthcare paradigm. In addition, when their health improves, they save money on medicine.

Policies and administration of health services place a high value on the development of primary health care strategies. Using a framework of right to health compliance, based on territory and population, the Comprehensive Health Care Model articulates integrated and comprehensive care networks that are at once institutional and community-based. According to Lashko(2021), the availability of services will be governed by the population’s demands and the order in which issues are prioritized. When it comes to providing services, infrastructure, people, material and financial resources are all factors. With the help of local actors, the Model encourages an ongoing assessment of the health status of the region and makes it possible to prioritize the needs of the population and prepare coordinated strategies in a timely manner.

One approach to enhance the health of a population is via policy. Policy creation is seldom a linear process; often, the domains of the policy cycle overlap or take place in an unplanned sequence. It is possible, however, that in the ideal situation, a problem is described, alternative policy solutions are investigated in detail, and the best option is selected and assessed (Chiu, 2020). Public health professionals play a significant role in the policy process, for example, by conducting policy analysis, presenting results, forming alliances, and supporting and implementing evidence-based practices. Focus on how the problem or issue affects the general well-being of the people. To find the most efficient, effective, and practicable solution to the problem or issue, consider several policy choices and assess them quantitatively and qualitatively.

Determine the most important players, such as those who support you and those against you (e.g., community members, decision-makers, nonprofit, and for-profit agencies). Chiu (2020) reports that sharing important information with key stakeholder groups, such as governments at all levels of government and other federal agencies as well as community-based organizations and groups as well as decision-makers, can help you explain and communicate the findings of your study. Keep in mind the demands and preferences of your stakeholders while producing goods.

References

Chiu, P. (2020). Advancing nursing policy advocacy knowledge. Advances in Nursing Science, 44(1), 3-15.  https://doi.org/10.1097/ans.0000000000000339 (Links to an external site.)

Lashko, N. (2021). A coordinated collaboration approach to enhancing integrated health care within primary health care at north Richmond community health. International Journal of Integrated Care, 20(3), 175.  https://doi.org/10.5334/ijic.s4175 (Links to an external site.)

Rech Ramos, P. (2021). Value-based healthcare. Bioethics in Medicine and Society.  https://doi.org/10.5772/intechopen.93378 (Links to an external site.)

 Reply

 

RUBRIC QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points:  Student failed to submit the final paper. 20 points out of 50:  The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50:  The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately.  Elements of the required response may also be lacking. 40 points out of 50:  The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples.  The answer is complete. 50 points:  The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples.  No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points:  Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points:  Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points:  References to scholarly sources are occasionally given; many statements seem unsubstantiated.  Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points:  Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented.  APA 6th Edition is used with only a few minor errors.  There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points:  Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented.  APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points:  Student failed to submit the final paper. 5 points out of 20:  The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors  10 points out 20:  The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20:  The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points:  The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points:  Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements.  The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.

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