Please answer the following questions in each section with at least one reference per section.
Section 1-Patient Behavior and Cost Sharing Actions for Patient Behavior and Cost Sharing
1. Please discuss the impact of deductibles and co-payments on patients health-seeking behavior.If you were a consumer how would you decide which insurance to choose with reference to co-payments? Is the cheapest insurance always the best?
Section 2-Managed Care and Accountable Care Organizations (ACOs)
1. Please share your experience on selecting a managed care plan. Please discuss the advantages and disadvantages of your MCO plan.
2. Many argue that there is no consistent direct correlation between the cost of care and its quality in a managed care program. Do you agree or disagree?
3. Do you think patients choice of provider and access to care will be limited under ACOs?
4. In what ways can an ACO succeed in both delivering high-quality care and spending health care dollars more wisely?
Section 3-Payment methods for Patient-Centered Medical Homes
1. What kind of payment method is more suitable for reimbursing PCMH? Please justify your answer.
2. Research confirms that medical homes can lead to higher quality and lower costs and can improve patient and provider experiences of care. Is this a reality or not? Validate your answer with examples.
3. How is this program implemented?
Section 4 Medicare Advantage vs. Medicaid MCO plan
1. Please discuss the major difference between the Medicare Advantage plan and the Medicaid managed care plan.
2. If you had to choose one which would it be? Validate your answer with examples.
3. If you were a physician which of these plans would you want your patients to have and why?
