Discuss the four major concerns of using the cost-to charge ration method. What is the relationship between the concepts cost allocation basis as used in the step-down method and cost driver as used in ABC? What is the difference between a cost object’s direct cost and its fully allocated cost? Give an example. What are the advantages and disadvantages of ABC relative to the step-down method of cost allocation? Name the units of service on which cost-based payers may pay providers. How do co payments and deductibles reduce risk? Why do providers desire “steerage”? Who bears the risk under a flat is system? Why? How do H Mos uses determine their premiums? If an HMO covered 150,000 lives, expected 25 myocardial infractions (MI) to occur each year within the covered lives, would expect a length of stay of 4.5 days for each MI, and had to pay an average of $950 per day for each day the MI patient was in the hospital, what would the PPM cost of the HMO be? What would have to be charged to the patient/employer if the HMO had administrative costs equaling 10 percent of its costs and it wanted a profit margin of 7 percent?

 

Paper , Order, or Assignment Requirements * From the scenario, differentiate between the concepts of criminal law, antitrust, and health care as they apply to U.S. health law in the 21st Century. Conceptualize the primary ways in which these laws apply to U.S. health care administrators.
• Analyze the general transition of U.S. health laws based on criminal misconduct in health care to the creation of contract laws, as predicated within the Sherman Antitrust Act. Evaluate the efficacy of the measures that the new contracts in question afford, and rationalize whether or not these improvements have provided optimal solutions to today’s complex concerns of integrity in health care performance.

 

PUBLIC POLICY Stakeholder Analysis-Apply the procedures for argumentation analysis to display contending positions and underlying assumptions for the content of the 2 publications.
PUBLIC POLICY Stakeholder Analysis
Select two (2) editorials / essays / columns (by staff or freelance writers) on a current issue of public policy from two (2) different publications (large metropolitan or national newspaper such as Washington Post or the New York Times or national magazines such as Newsweek, Time, and The New Republic.)
1. Apply the procedures for argumentation analysis to display contending positions and underlying assumptions for the content of the 2 publications.
2. Rate the assumptions and plot them according to their plausibility and importance. (Refer to Figure 3.16, “Distribution of warrant by plausibility and importance.”)
3. Determine which arguments are the most plausible. Provide a rationale for your views.
(Note: Refer to Demonstration Exercise 1 located at the end of Chapter 3 for criteria 4-6. Examine Box 3.0 – Conducting a Stakeholder Analysis. Choose one of the following policy issues in the U.S. gun control, illegal drugs, medical insurance fraud, and environmental protection of waterways, job creation, affordable health care, or Medicare.)
4. Generate a list of at least five to ten (5-10) stakeholders who affect or are affected by problems in the issue area chosen for analysis.
5. After creating a cumulative frequency distribution from the list, discuss new ideas generated by each stakeholder. (Note: The ideas may be objectives, alternatives, outcomes causes, etc.; ideas should not be duplicates.)
6. Write an analysis of the results of the frequency distribution that answers the following questions: (a) Does the line graph flatten out? (b) If so, after how many stakeholders? (c) What conclusions can be drawn about the policy problems in the issue area?
7. Include at least two (2) peer-reviewed references (no more than five [5] years old) from material outside the textbook to support your views.

 

SOCW 2363 Policy Brief and Analysis Assignment
You are to prepare a 5-7 page paper (a policy brief and accompanying analysis) for one policy from the list provided to you. This paper should contain the following information: 1) problem description; 2) title and brief description of the policy you have selected that addresses the problem; 3) the goals and objectives of the policy; 4) a description of the benefits and/or services provided under the policy; 5) eligibility rules (be sure to include estimates of those eligible and those receiving services); 6) service delivery system(s); 7) financing; and 8) analysis of the cost-effectiveness and outcomes of the policy. (See Chapin Chapter 5, pp. 185-194, for additional information.)
The policy brief/analysis assignment is worth 30% of your overall course grade and is due by 11:59 pm on Sunday, May 1, 2016. The assignment should be prepared as follows: a) 5-7 pages, not including the title or reference pages; b) 1” margins; c) double-spaced; d) 12-point Times New Roman; and e) subheadings (see below). You should primarily use your own words to describe and analyze this policy; however, you may use some short quotes from peer-reviewed literature and federal government policy websites, if cited properly using APA 5th or 6th edition style. Cite all of your sources and place them in the reference page. A good “rule of thumb” is two references per page of text (i.e., roughly 10-14 references, including the policy itself, for this brief).
Students may submit their papers through the Turnitin.com link multiple times up until the due date to make use of the originality reports in revising papers. I highly suggest that students do this to avoid improper paraphrasing (automatic 30-point deduction) and plagiarism (automatic “0” on the paper).
I. Description of the Problem (~ 1 page)Problem scope – WHY?• What is the nature of the problem that the policy is intended to address?• What is the extent (scope) of the problem?• How many are affected by this problem? (Use specific statistics)• Why is a policy necessary to address this problem?

 

focus of this course is leadership/management
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Integration of Knowledge Paper demonstrates that the author fully understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideas. Paper demonstrates that the author, for the most part, understands and has applied concepts learned in the course. Some of the conclusions, however, are not supported in the body of the paper. Paper demonstrates that the author, to a certain extent, understands and has applied concepts learned in the course. Paper does not demonstrate that the author has fully understood and applied concepts learned in the course.
Topic Focus The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by statement of a position or hypothesis The topic is focused but lacks direction. The paper is about a specific topic but the writer has not established a position. The topic is too broad for the scope of this assignment. Topic is not clearly defined.Depth of Discussion In-depth discussion & elaboration in all sections of the paper. In-depth discussion & elaboration in most sections of the paper. The writer has omitted pertinent content or content runs-on excessively. Quotations from others outweigh the writer’s own ideas excessively. Cursory discussion in all the sections of the paper or brief discussion in only a few sections.In-depth discussion & elaboration in most sections of the paper. Writer omits pertinent content or content runs-on excessively. Quotations from others outweigh the writer’s own ideas excessively. Cursory discussion in all the sections of the paper or brief discussion in only a few sections.
Spelling and Grammar No spelling &/or grammar mistakes. Minimal spelling &/or grammar mistakes. Noticeable spelling & grammar mistakes. Unacceptable number of spelling and/or grammar mistakes.Minimal spelling &/or grammar mistakes Noticable spelling &/or grammar mistakes Unacceptable number of spelling &/or grammar mistakes.
Sources and Citations More than 5 current sources, of which at least 4 are peer-reviewed journal articles. All web sites utilized are authoritative. Cites all data obtained from other sources. APA citation style is used in both text and bibliography. 5 current sources, of which at least 3 are peer-reviewed journal articles. All web sites utilized are authoritative. Cites most data obtained from other sources. APA citation style is used in both text and bibliography. Fewer than 5 current sources or fewer than 3 peer-reviewed journal articles. All web sites utilized are credible. Cites some data obtained from other sources. Citation style is either inconsistent or incorrect. Fewer than 5 current sources, or fewer than 2 are peer reviewed. Not all web sites utilized are credible and/or not all sources are current. Does not cite sources.