Describes the purpose of Diagnosis Related Groups (DRGs) using specific facts and details.You may choose Medicaid, Medicare, HMO, PPO, or private

insurance plans for this assignment. You can choose your own personal insurance plan as well.

REVISIONS OF CARE OPTIONS

Please include a cover page, references (separate page), clearly worded purpose statement, three

scholarly references.
Select two major insurance (health) plans. You may choose Medicaid, Medicare, HMO, PPO, or private

insurance plans for this assignment. You can choose your own personal insurance plan as well.

Examples of care options that facilitate or limit access include medications, primary care

physicians, specialists, emergency care, labs and diagnostics, wellness care, prevention, surgery

(these are just a few examples). Deductibles and costs of the plans are not the focus of this

assignment.

You will write a 3-4 page paper in APA format (excluding the title page and reference page).

Include a minimum of three scholarly references from the peer reviewed professional nursing

literature. No more than four pages of content. Include the following in your paper:

Introductory paragraph. Extensively describe the importance and relevance of health care coverage.

Provides specific facts and details. End paragraph with a clearly worded purpose statement.
Select a major health care plan. Summarizes three care options provided by the plan that

facilitates access for the patient. Summarizes three care options that limit access to care for

the patient. Provide specific examples and facts.
Select a second major health care plan. Summarizes three care options provided by the plan that

facilitates access for the patient. Summarizes three care options that limit access to care for

the patient. Provide specific examples and facts.
Extensively describes the purpose of Diagnosis Related Groups (DRGs) using specific facts and

details. Explains the impact of DRG’s on treatment, length of stay, referrals, and payment of

service using specific facts and details.
Comprehensively describe the role of charity care within a health care facility by including two

specific facts and details. Clearly discusses how vulnerable populations and the uninsured may be

impacted by including two specific facts and details.


 

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