Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Describe the qualifications to receive Medicare and/or Medicaid. How can this be modified to serve more people who are considered a vulnerable population?

Assignment Description: This assignment will be at least 1000 words or more.

This week you will reflect upon the Medicare and Medicaid programs to answer the following questions:

• How does Medicare affect medical billing?  
• Briefly define the qualifications for Medicare and Medicaid benefits.
• Describe the impact that the ACA has had on Medicare and Medicaid recipients.

Assignment Expectations: 

• Length:
  • 1000-1250 words (4-5 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions
• Format:
  • Save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type
• File name:
  • Name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)
• Submission:
  • Submit your assignment to the Drop Box

“Health Demand, Elasticity, Principle and Agent in Determining Demand for Medical Care”  Please respond to the following:

• Use the   U.S. National Library of Medicine Website   and review the glossary of frequently encountered terms in Health Economics. and compare the primary individual factors that influence demand, and explain the significant ways in which each affects the demand curve. Provide at least one (1) example of these factors to support your rationale.
• Imagine a situation where consumers have incomplete information about their health status and about the productivity of medical care. Examine the roles of the principal and the agent in helping consumers to determine the demand for medical care in the described situation. Provide at least one (1) detailed example of such roles in action to support your response.

comment1

Prior to the passing of the Patient Protection and Affordable Care Act (PPACA) of 2010, the health care system was fragmented.  There was no one single entity responsible for the overall coordination and quality of a patient’s care.  The PPACA provides many provisions that seek to connect the quality of care with the cost of care.  It creates incentives for integrated care delivery models and pays for coordination and quality of care. One innovative care delivery model addressed in the PPACA is the accountable care organization (American Nurses Association [ANA], 2010).

                An Accountable Care Organization (ACO) is a collaboration of primary care providers, a hospital, specialists, and other health care professionals that accept joint responsibility for the quality and cost of patient care.  While ACOs are not new, the PPACA brought them to the forefront of new delivery models and provides the ACO with more leeway regarding who can lead them.  This permits greater nursing leadership and participation.  In fact, a key term in the PPACA is “ACO professional.” The law defines the ACO professional as a physician “and” a nurse practitioner, clinical nurse specialist, or a physician assistant (ANA, 2010).

comment2

In the PCMH, the team would know and care for the patient in their home. This would require a consistent and timely team work between team members. The use of electronic medical records increase the teams timely response and care. Also included with electronic care systems is the ability to request a consult from another team member. The progress, charting, labs and other pertinent information would be made available to each team member at all times. It is also imperative that nurses and physicians be able to contact a specialty physician. Getting to know who is on your team and being able to contact the specialty is important. Relationships need to be built or reinforced in order to provide quality care. In the PCMH, the care is focused on medical care given in the home (Haas, S., 2010). Patient-Centered Primary Care Collaborative (PCPCC) published an Annual Review of Evidence 2014-2015, in which it examined the cost measures and utilization of services. It was reported that PCMH care costs were lower and the health care quality had improved (Gross, A., 2016). The report continued to state that “The evidence continues to build that a high performing, patient-centered medical home – especially when supported by multiple, committed and aligned payers – is the foundation for a better performing health care system”. “…it [PCMH] can control costs and promote the right care” (Gross, A., 2016). The report continued to show evidence of improved health care, improved health for the client, decreased hospital admissions and emergency room visits. Overall, the quality of care was increased and costs decreased (Gross, A., 2016). Using  a telehealth with the RN as the point of contact increases the clients confidence at being heard. Some places call this form as a telehealth buddy, where the RN can triage, educate and counsel the patient (Haas, S., 2010). Telehealth systems are in place to compliment the home visits by the RN and helps the client to feel as though the health care team is always available to them without the traveling or long waits for doctor’s appointments.

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.