Controlling Health Care Costs Case Study
Controlling Health Care Costs Case Study
Controlling Health Care Costs Case Study
M3D1: Controlling Health Care Costs – A Case Study
An active discussion is the key to an interesting and engaging online course. Discussion in this course is designed to simulate a classroom discussion. As others join in the discussion, you should read what has already been posted and add substantively to the discussion. We will go through the questions one at a time, moving on to the next question once we have fully explore the current question. I will guide you through the discussions.
The modules in this course are one week in length. Time goes quickly, so remember to post early! Get in the habit of checking the discussions as often as you can to see what others have posted and to respond. The earlier in the week that you begin posting, the deeper the conversation and learning will be.
In this descriptive case study, you will work together to explore the rationale for how and why decisions are made about health care treatment within cost containment parameters. Please read the case studyPreview the document and then engage in discussion on the questions that follow.
In your opinion, based on what you have learned so far this term:
Lisa had a very strong position regarding Don’s treatment. Based on the information provided in this case and what you have learned so far this term, what arguments would Lisa most likely have made to support his need for this treatment when she approached his insurance company? Why do you think the insurance company was so unresponsive?
Now applying your readings, let’s go through these questions together one at a time. I will guide us through:
Knowing what you now know about methods typically used to manage health costs, what do you think was going on in this scenario? What role did managing health care costs play in the decisions made?
Health providers are in the business of treating and healing people. Yet, providers must also “make ends meet” in terms of income, or they will not remain in practice very long. If you and your classmates were in the position of deciding whether or not Don should receive this treatment, what factors would you want to weigh as you consider your decision? What other information might you want to have available to help you to make this decision? Work together on developing recommendations and be sure to support your recommendations with this week’s materials.
Consider Don’s treatment path from his initial diagnosis through his death. Based on this case and your readings, do you feel it is possible for the health care delivery system to provide compassionate care within the parameters of cost containment? Why or why not? Be sure to speak to some of the current trends in financing that we have learned about this week.
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click on “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
This discussion will be graded using a rubric. Please review this rubric prior to beginning the discussion. You can view the rubric by clicking on “Discussion Rubric” on the Course Rubrics page within the Start Here module. All discussions combined are worth 35% of your final course grade.
Module outcomes that are addressed in this discussion include:
Examine the financing and reimbursement of public health and health care services. (CO3)
Evaluate cost control methods used in the health care delivery system. (CO3)
Analyze current trends in health financing. (CO3)
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.