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  Medicaid Eligibility requirements and covered services in Florida

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  Compare the Medicaid eligibility requirements and covered services of your state (Florida ) of residence to those of another state.

  REFERENCE/ INFO WEB SITES

  Kaiser Family Foundation (2010). Health Reform: How will Medicaid Change? Available at: http://www.kaiseredu.org/tutorials/medicaid-and-health-reform/player.html (Accessed 11/21/2012)
  Kaiser Family Foundation (2012). Medicaid 101. Available at: http://www.kaiseredu.org/Tutorials-and-Presentations/Medicaid-101.aspx (Accessed 11/21/2012)
  Kaiser Commission on Medicaid and the Uninsured. (2011). Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform. http://www.kff.org/medicaid/upload/8139.pdf (Retrieved 11/21/2012)
  Kaiser Commission on Medicaid and the Uninsured. (2011). Top 5 Things To Know About Medicaid. http://www.kff.org/medicaid/upload/8162.pdf (Retrieved 11/21/2012 )
  Kaiser Commission on Medicaid and the Uninsured. (2010). Medicaid: A Primer. Available at http://www.kff.org/medicaid/upload/7334-04.pdf (Retrieved 11/21/2012)
  Kaiser Commission on Medicaid and the Uninsured. (2010). The Medicaid Program at a Glance. Available at http://www.kff.org/medicaid/upload/7235-04.pdf (Retrieved 11/21/2012)

  1 pages

  APA – 3 References
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  Medicaid /Case Assignment: Explain how Medicaid is financed

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  Medicaid /Case Assignment: Explain how Medicaid is financed

  Respond to the following:
  1.    Explain how Medicaid is financed.
  2.    Discuss the role of the federal and state governments on the operation and design of Medicaid programs.
  3.    Discuss the impact of the Patient Protection and Affordable Care Act on the eligibility and coverage of Medicaid.
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  Current financial health and the future projection on the financial sustainability of Medicare

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  Once you have completed all the reading, discuss the current financial health and the future projection on the financial sustainability of Medicare.
  Cite all sources and provide a reference list at the end of the paper.
  The paper should be 2 pages typed and spell /grammar checked.

   
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  Explain how Medicare is financed

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  After reading the background materials as well as additional information you find from the literature and online sources, respond to the following:

  • Explain how Medicare is financed.
  • Identify who is eligible for Medicare.
  • Discuss the benefits of Medicare. (Note: Discuss the differences in premiums and covered services.)

  Cite all sources and provide a reference list at the end of the paper.
  The paper should be 2 pages typed.
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  The Emergency Medical Technicians (EMT) that did not exist at the end of WWII (1945)

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  Over the past half century there have been many additions to the inventory of healthcare workers.  Pick three types of healthcare workers that did not exist at the end of WWII (1945)  and discuss what you think the reasons for the creation/growth of this type of worker is/was, what the financial, clinical, and political implications are on the healthcare industry.  Speculate if this type of healthcare worker will add to the total cost of care or will reduce the cost of care and why.  How the worker will impact the availability of care.  Provide specific examples that support your position, and also describe what you think the future for the type of worker you identify is going to be over the next 20 years.  Example: …and you can’t use this one…Physician Assistant:  reason for creation; perceived shortage of primary care physicians during the early 1970s and need for providers in economically depressed and rural areas of the country.  A solution was seen in that there was an inventory of trained military hospital corpsmen returning from Vietnam with superior primary and trauma care skills but no formal university type education.  … the reasons for growth and future of the PA is obvious.

  Do this assignment is bullet format for each of the three types of workers:

  • Type of healthcare worker
  • When this type of worker entered the market or came into being (remember WWII ended in 1945, so the types of workers you decide on must have been created since then).  If the type of worker you choose grew out of some other type of worker, explain how and why.
  • Reasons for creation and growth
  • Financial implications: impact on overall healthcare costs, value in the market place, etc.
  • Clinical implications: how does the addition of this type of worker improve clinical outcomes.
  • Political implications: are or were there political issues that either brought about the creation of the type of worker, or have there been political issues that resulted from the creation of the worker?
  • Impact on availability of care
  • Future of this type of worker
  • Impact on other healthcare workers: will the worker take work away from another worker, will the type of worker be an addition to the overall inventory of the workforce, will the worker add value to some other type of worker (go back to the PA example, the PA added revenue and value to the MD practice they work in).

  NOTE OF ADVICE >> WHEN I SAY BULLET FORMAT, THAT IS WHAT I WANT TO SEE, LIST THE TITLE OF THE BULLET AND THEN ANSWER IT>> FOR EXAMPLE:

  Financial Implication: provide two or three sub-billetses that outline the financial implications of this type of worker.
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  Sources of health insurance coverage in your home state (Texas)

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  After reading the background materials as well as additional information you find from the literature and online sources, respond to the following questions for this module’s SLP:

  1. Discuss the sources of health insurance coverage in your home state (Texas), or any state of your choosing, for the following groups:
     • Seniors age 65 and older
     • Children younger than 18
     • Low-income families with at least one child, whose family income is below 133% of the Federal Poverty Level
     • The self-employed
     • Employees of large companies (more than 100 employees)
     • Employees of small businesses
     • Part-time, temporary, and seasonal employees
     • The unemployed
     • College students
  2. Discuss whether the groups listed above need to contribute to the premiums of their health insurance.

  3. Cite all sources and provide a reference list at the end of the paper.
  4. The paper should be 2 pages typed and double-spaced

   

  Required Reading

  RAND Corporation. (2010). U.S. Health Care Today: Coverage. Available at http://www.randcompare.org/us-health-care-today/coverage#current-levels-of-coverage (Retrieved 11/21/2012)

  Choudhry, N., Rosenthal, M., & Milstein, A. (2010). Assessing the Evidence for Value-Based Insurance Design. Health Affairs, 29 (11), 1988-1994. Retrieved from ProQuest on 11/21/2012.

  Eibner, C., Hussey, P., & Girosi, F. (2010) The Effects of the Affordable Care Act on Workers’ Health Insurance Coverage. New England Journal of Medicine, 363 (15), 1393-1395. Available at http://healthpolicyandreform.nejm.org/?p=12339 (Retrieved 11/21/2012)

  Claxton, G. (2008). How Private Health Care Coverage Works: A Primer. A Henry J. Kaiser Family Foundation Report. Available at http://www.kff.org/insurance/upload/7766.pdf (Retrieved 11/21/2012)

  Baicker K., & Chandra A. (2008). Myths and Misconceptions about U.S. Health Insurance. Health Affairs, 27(6), w533-43. Retrieved from ProQuest on 11/21/2012.

  Blumenthal, D. (2006). Employer-Sponsored Health Insurance in the United States – Origins and Implications. New England Medical Journal, 355(1), 82-88. Retrieved from ProQuest on 11/21/2012.

  Bodenheimer, T. (2005). High and Rising Health Care Costs. Part 1: Seeking an Explanation. Annals of Internal Medicine, 142 (10), 847-854. Available at http://www.cga.ct.gov/ph/HealthFirst/Docs/HFSPC/Bodenheimer%20annals%20part%201.pdf (Retrieved 11/21/2012)

  1 pages

  APA – 2 References
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  Identify the distribution of national health spending by type of financing source

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  After reading the background materials as well as additional information you find from the literature and online sources, respond to the following:

  1. Identify the distribution of national health spending by type of financing source.
  2. Identify the distribution of health insurance coverage among the U.S. population.
  3. Discuss the impact of the Patient Protection and Affordable Care Act on insurance coverage.
  4. Discuss the origin of employment-based health insurance.
  5. Explain the difference between fully insured and self-insured health plans.

  Assignment Expectations

  • Cite all sources and provide a reference list at the end of the paper.
  • The paper should be 2 pages typed and double-spaced
  • Prepare your work using the appropriate APA format.
  • Use information from the modular Home and Background pages as well as other credible and peer-reviewed sources retrieved from a library or an Internet search.

  Length: Write a 2-page paper, typed and double spaced, with 12 pt. Times New Roman font and 1-inch page margins. Use headers throughout the paper. This will aid you in not overlooking vital elements of the assignment and make the document easier for the reader to follow.

   
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  Biology Assignment Questions

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  Questions Answered: Biology 1 #3, Biology 2 #1, Biology 3 #4

  Biology 1: Please select one of the four (4) statements below and respond in 2 paragraphs (5-6 sentences each paragraph).

  1. Suppose that someone used nanotechnology to build little robots (called “nanobots”) that could make copies of themselves. Discuss whether or not you believe the nanobots would be alive. Explain why or why not?

  2. Go to The Economist website to read the article titled “A Game of Cat and Mouse”, dated June 3, 2010. Discuss what you believe are the main points of the article. Explain how it relates to this week’s lessons. Give examples with your response.

  3. A person is declared to be dead upon the irreversible cessation of spontaneous body functions: brain activity, or blood circulation and respiration. However, only about 1% of a person’s cells have to die in order for all of these things to happen. Explain how a person can be dead when 99% of his or her cells are still alive, and provide examples with your explanation.

  4. In 2005, researcher Woo-suk Hwang reported that he had made immortal stem cells from human patients. His research was hailed as a breakthrough for people affected by degenerative diseases, because stem cells may be used to repair a person’s own damaged tissues. Hwang published his results in a peer-reviewed journal. In 2006, the journal retracted his paper after other scientists discovered that Hwang’s group had faked the data. Discuss the implications of the incident. In your brief discussion, determine if the incident shows that results of scientific studies cannot be trusted or if it confirms the usefulness of a scientific approach, because other scientists discovered and exposed the fraud.

  Biology 2: Please select one of the four (4) statements below and respond in 2 paragraphs (5-6 sentences each paragraph).

  1. In an essay of the universal nature of biochemistry, located at http://www.pnas.org/content/98/3/805.full), Norman Pace argues that carbon is the only chemical element that can form the backbones of molecules that make up living things. Determine what Pace’s argument is and explain why he believes this.

  2. The bonding properties of water give it certain characteristics: surface tension, capillary action, universal solvent, high specific heat, and a high heat of vaporization. Indicate three reasons why you believe these properties are important to organisms that live underwater. In your own words, explain one of the following everyday phenomena in regard to the bonding properties of water, and propose one other everyday phenomenon that demonstrates the bonding properties of water:

  • Why do you feel cool when you sweat?
  • Why do paper towels (made of cellulose, another polar molecule) absorb water?
  • How can a water strider walk on water?

  3. A group working at the University of California, Berkeley has developed “nanothermometers,” little nanoparticles that can be injected into cells to measure the temperature in various places in the cell. So far, they have been used in cells growing in a culture dish. Indicate what you think the group will discover about the temperature in different parts of the cell. Discuss whether you believe it will be the same or different, and explain why.

  4. The 1992 movie Lorenzo’s Oil recounts the story of six-year-old Lorenzo Odone and his battle with adrenoleukodystrophy (ALD), which is caused by a malfunctioning organelle called a peroxisome. A peroxisome is an organelle that ordinarily contains enzymes capable of breaking down long-chain fatty acids. In ALD, the enzyme is missing, and when long-chain fatty acids accumulate, muscle weakness, and loss of control result. Select the organelle in the cell that is the most similar in structure and function to a peroxisome, and explain why you chose that organelle. Describe the function and structure of the organelle that you chose. Give examples of how a dietician might be able to help a person with ALD.

  Biology 3: Please select one of the four (4) statements below and respond in 2 paragraphs (5-6 sentences each paragraph).

  1. The breakdown of ATP releases energy, which is utilized by other reactions that require energy. Identify other examples where inventions have utilized a similar principle, where energy released during one reaction is utilized elsewhere. List three reasons why either one of the processes is more efficient than the other.

  2. Go to one (1) of the Websites listed below to read the blog post of your choice. Discuss the main points of the blog post you chose to read. Explain how it relates to this week’s lessons. Give examples with your response.

  • How Exercise Can Strengthen the Brain“
  • Can Exercise Keep You Young?“

  3. Go to the Dive Discover Website and review the Web page titled “Vent Biology: Introduction to Photosynthesis vs. Chemosynthesis”. Analyze the major similarities and differences between chemosynthesis and photosynthesis. Determine what you believe is the most significant step in regard to harnessing energy within each process, and explain why.

  4. Go to The Guardian’s Website to read the article titled “GM microbe breakthrough paves way for large-scale seaweed farming for biofuels”, dated January 19, 2012. Discuss the main point of the article. Determine at least three (3) benefits of the genetically modified organism(s) described in the article. Give your opinion about what risks the genetically modified organisms pose to society, and explain how non-scientist citizens can arrive at an informed opinion in such matters.
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  What will hospitals need to do to adapt from volume based to value based models

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  Health Reform: On-Line PodCast.

  Listen to the following PodCasts located at the Health Reform tab on the podcast link at Hospitals and Health Networks:
  “From Volume to Value” by Valinda Rutledge
  “Embracing Healthcare’s Age of Uncertainty” by Mary Grayson

  http://www.hhnmag.com/hhnmag/html/Podcasts.html and answer the following questions:

  1. What will hospitals need to do to adapt from volume based to value based models?
  2. What did Valinda reference as being a community Role model?
  3. What are all the “U” words Mary Grayson references?

  website: http://www.hhnmag.com/#Podcasts

   

  1 Pages