Main features of a consumer-directed health plan

Main features of a consumer-directed health plan

Explain the main features of a consumer-directed health plan:Part 1-350 words read Chapters 1 and 2 of the course text. For your initial post, address the following in the discussion forum:

Select a managed care plan such as an HMO, PPO, POS, or EPO and discuss its advantages and disadvantages.

Explain the main features of a consumer-directed health plan (CDHP).

Examine one real-life example of a CDHP plan (e.g., Cigna 1500) and another for the selected managed care plan (e.g., Aetna Open Choice PPO) in terms of covered benefits, choice of providers, and level of cost sharing and then determine which one would be the optimal choice for your family.

Part 2 300 words , read Chapter 3 of the course text as well as the required document, The Final Rule for the Medicare Shared Savings Program. For your initial post, address the following

Describe the roles, functions, and liabilities of the board in a managed care organization.

Assess the main differences regarding Governance as well as Leadership and Management Structure between the Medicare Shared Savings Program and a managed care organization.

REFERENCE: Kongstvedt, P. R. (2012). Essentials of managed health care. Jones & Bartlett Publishers.

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.