Opportunity to select a managed healthcare organization


This Course Project gives you the opportunity to select a managed healthcare organization or an integrated delivery system that currently exists in our healthcare system and analyze the positive and negative aspects of the integrated delivery system or managed healthcare organization. The paper should critically analyze the issues related to the topic and identify key strategies for improvement. In order to meet the project requirements, it is important to identify an issue or problem within the integrated delivery system or managed healthcare organization. Please analyze and review the grading rubric to understand why this is important. Peer-reviewed references are required for this paper. Don’t overlook the Keller Library as an important source of information for your paper. The paper should include 8–10 references in APA style and format.

See a more detailed grading rubric below.

he length of the final paper should be approximately 8–10 pages, double-spaced in MS Word, including a title page (APA style), introduction, APA level-one headings throughout, a conclusion, and a reference page.

Example Course Project Topics

Describe a managed care organization or integrated delivery system, and discuss the positive and negative aspects related to healthcare quality, costs, and access to healthcare.

• Choose a closed- or open-panel health maintenance organization and discuss a specific model, such as a direct contact model, group model, or staff model.

• Evaluate healthcare quality and cost related to health maintenance organizations.

• Choose an integrated healthcare delivery system, such as a physician group practice, and discuss the benefits and legal structure for group practices.

• Evaluate physician hospital organizations and how the organizations contract with insurance companies.

• Discuss healthcare fraud in relationship to managed healthcare and provide examples.

• Evaluate quality management of healthcare in managed healthcare, utilization, and cost management and provide examples.

• Discuss the federal and state regulations for managed care and integrated delivery systems and explain how trends have changed in the past 2 years.

• Evaluate challenges to provide healthcare services to the newly insured population through marketplace.gov health insurance exchanges.

Grading Rubric

• Introduce the issue.

• Define the problem.

• Search the literature.

• Analyze the problem.

• Offer possible solutions.

• Develop an implementation plan.

• Justify why and how your solution will solve the identified problem.

Your paper must include the following sections.

Category Points Percentage Description

Background 10 5% Describe the problem, organization, or situation you selected; identify the specific issues of interest or controversy; and present background and facts of the problem, organization, or situation that will enable the reader to clearly understand the issue.
Problem Statement 10 5% Identify and clearly state the problem.

Literature Review 35 17.5% Present what you discovered in your search of the literature. Review issues, theories, concepts, and studies discussed in class and in our textbook, and review what other writers or researchers have to say about the subject of your analysis. Discuss the concepts, ideas, or insights that are most valuable in helping you make sense of your project. What theories can you use? What writers say something of value? Why is it of value? Which models are the least helpful and why? What theories or concepts will you challenge or criticize because your findings are different? In short, demonstrate an understanding of the literature and apply it sensibly to the problem.

All references are required to be peer reviewed, and the Keller library database is an excellent resource to search the literature.

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