Archive for month: February, 2019

. Address what your philosophy of nursing (beliefs about the meta-paradigm: person environment health and nursing)is and identifying the philosophical influences.

2. Describe how those philosophical foundations influence your nursing practice and provide two specific examples.
3. Discuss how positivism and post-positivism influence the different approaches (qualitative and quantitative) to nursing science (research methods) and nursing practice.
**Please note that references must be 5 years old or less and peer-reviewed articles. No URL link please. Need to be scholarly articles.
**Paper must be written in APA 6th edition format please. This is a doctoral level course writings must reflect such level.

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Explain and evaluate two mandated or proposed policies from the Centers for Medicare and Medicaid (C.M.S.) or any other branch of the U.S. Department of Health and Human Services in the past three years .

Explain and evaluate two mandated or proposed policies from the Centers for Medicare and Medicaid (C.M.S.) or any other branch of the U.S. Department of Health and Human Services in the past three years that could have a substantial financial effect on a health care provider (e.g., doctor, hospital, long-term health care facility, pharmaceutical company). Describe the policies and explain the potential effects. Is the effect positive or negative? Explain your answ

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30 days for Medicare Supplement, 60 days for Long term Care.Medicare Part A pays for hospital expenses. What is the maximum out-of-pocket for the patient in this plan?

30 days for both Medicare Supplement and Long Term Care
Medicare Part B provides benefits for all of the following benefits EXCEPT:
Durable medical equipment at home
Outpatient Prescription drugs
Medicare Part A pays for hospital expenses. What is the maximum out-of-pocket for the patient in this plan?
The per admission deductible
The difference between a private and semi-private room charge
There is not limit on out-of-pocket
The Smithermans are covered by Medicare Part A & B. There are concerned that this will not cover their entire medical bill in the event there is a sickness or an accident. The Smithermans should consider purchasing a:
Determine if the are eligible for Medicaid
Purchase a Medicare Supplement plan that will cover some of the cost not paid by Medicare.
Medicare was instituted for the primary reason of:
Providing medical services for the indigent
Providing medical services for individuals who are 65 or older
Medicare Part A will pay for the first 60 days of hospitalization in full after the required deductible. How long must a member be out of the hospital before a new benefit period begins?
30 days
90 days
60 days
Part A Medicare will provide services for all of the following EXCEPT:
Home health care
Surgery
Long Term Care benefits may be available through all of the following, EXCEPT:
Individual Policy
Medicare Part B
If an individual covered under Medicare Part A

Pages:

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You are required to write three “diary” entries for three different healthcare experiences that you have had. These can be experiences from clinical practicum, employment in a healthcare setting.

You are required to write three “diary” entries for three different healthcare experiences that you have had. These can be experiences from clinical practicum, employment in a healthcare setting., experience as a patient or client of a health service or a healthcare experience of a family member or friend in which you were involved. The experience should have an element that you would like to think or learn more about through reflection and research; perhaps to help you to arrive at a new understanding. The quality of these diary entries will be assessed.

You can write diary entries using the first person “I”. You are required to de-identify people and places (using pseudonyms where necessary) to maintain confidentiality of participants and facilities.
All journal entries will be treated as private and confidential documents.

For each journal entry, you are required to complete a Level 1, Level 2 and Level 3 analysis (see Borton’s analysis framework available on Moodle site (Rolfe, Freshwater & Jasper 2002)). Please do not use any other reflection model.

Please note that within Level 2, you are asked the question of what other knowledge you can bring to the situation. Within this step, and under scientific knowledge, you are required to conduct a literature search to identify and analyse literature that will help you develop a new understanding of the situation you are reflecting upon. This section requires you to demonstrate effective literature searching skills and the ability to consolidate, analyse and critique evidence. Therefore, as many references as you need to comprehensively reflect on the experience is required within this section.

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Examine the main events in the history of health insurance from the mid-twentieth century to the present.
The History of Health Insurance and Managed Care

Health insurance began in the early part of the twentieth century as a means to protect an organization’s assets, either its financial assets or its manpower. Since the early days, health insurance evolved into a system of managed care in order to control issues such as overutilization, skyrocketing costs, limited restrictions, and low-quality care.

Using the South University Online library or the Internet, search for articles on health insurance and managed care. Based on your research, summarize your findings and answer the following questions:

Examine the main events in the history of health insurance from the mid-twentieth century to the present. Explain how these events led up to the evolution of managed care organizations.
Evaluate the purpose of health care insurance in the early days.
Evaluate the evolution of health insurance and managed care. What is the relationship between the two and how has managed care risen to prominence in today’s health care market?
Explain how the perspective of health insurance has or hasn’t changed in today’s managed care environment.
Analyze the public policy and market forces leading to the growth of managed care.
Analyze the current trends in managed care and its future in the context of health care reforms.
Based on your understanding, create a 4 page Microsoft Word document that includes the answers to the above questions.

Support your responses with examples.

Cite ALL sources in APA format. NO PLAGIARSM…….assignmant will be check by TURNITIN….

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