Assignment: Healthcare Delivery System In The US - SLP
The overall goal of the Session Long Project in this course is to examine health care delivery in the United States from a personal perspective, and provide recommendations for improvement.
As U.S. citizens, we have all interacted (and will continue to interact) with the delivery of health care. In fact, insurance plans/organizations are an important part of our healthcare delivery system. Most healthcare insurance plans are either an Exclusive Provider Organization (EPO), Health Maintenance Organization (HMO), or Preferred Provider Organization (PPO). It is important to note that health insurance is highly government regulated, and, as a result, is influenced by political culture.
View the following video:
JS Downey Insurance Service. (2015, April 8). Understanding HMO, PPO, and EPO plans [Youtube Video file].
Read the following article:
Schroeder, S. A. (2014). Physicians, politics, and health insurance expansion. Journal of General Internal Medicine, 29(2), 267-8.
For the Module 1 Session Long Project, complete the following:
Part 1:
In at least 2 pages, explain the type of health insurance coverage you currently have (you do not need to provide the name of your insurance company):
• Insurance Product (e.g., HMO, PPO, POS, Indemnity, or others)/Self-pay if not insured.
• Source (employer, government, parents, or others).
• Out-of-pocket costs: co-payments, deductibles, expenses, etc.
• Level of coverage (e.g., 100% coverage or 80% coverage with 20% coinsurance).
• Major limitations on choice of providers or self-pay: (a) Are you required to choose a primary care physician? (b) Are there limitations on use of out-of-network providers? (c) What are the limitations to self-pay?
Part 2:
As noted, U.S. political culture has an influence on the U.S. health care delivery system. Draft a 1- to 2-page memo to your local politician or lobbyist expressing the limitations stated in Part 1. Make recommendations on how political culture and values can either reduce these limitations or further increase them.
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.