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Assignment: The role of North Carolina health departments in Medicaid managed care

Assignment: The role of North Carolina health departments in Medicaid managed care

Assignment Expectations:
a.  Chose (2) readings and address (2) concepts (A and B) in about 150 words each.
b.  You will be graded on how well you demonstrate knowledge and understanding of the concept, and critical thinking pertaining to the applicability of the concept to your professional practice. Points awarded will follow breakdown below.
2.  The Assignment: Given the readings below identify and discuss two concepts or lessons learned that you believe will be most applicable to your professional discipline.
3.  Concept A (points 10/20):
1.  Identify /define (points 4/20): ……
2.  Your professional discipline: ……..
3.  How applicable (points 6/20): ……
4.  Concept B (points 10/20):
0.  Identify /define (points 4/20): ……
1.  Your professional discipline: ……..
2.  How applicable (points 6/20): ……
Readings:
Blumenthal, D., Chernof, B., Fulmer, T., Lumpkin, J., & Selberg, J. (2016). Caring for high-need, high-cost patients”an urgent priority. New England Journal of Medicine, 375(10), 909-911.
Bridger, C. M., Smith, S. E., & Saunders, S. T. (2017). Saving lives and saving money: The role of North Carolina health departments in Medicaid managed care. North Carolina Medical Journal, 78(1), 55-57.
Cleverley, W. O., & Cleverley, J. O. (2017). Essentials of health care finance. Jones & Bartlett Learning.
Hines, A. L., Raetzman, S. O., Barrett, M. L., Moy, E., & Andrews, R. M. (2017). Managed care and inpatient mortality in adults: Effect of primary payer. BMC Health Services Research, 17 doi:10.1186/s12913-017-2062-1
Keast, S. L., Skrepnek, G., & Nesser, N. (2016). State Medicaid programs bring managed care tenets to fee for service. Journal of Managed Care & Specialty Pharmacy, 22(2), 145-148.
Hines, A. L., Raetzman, S. O., Barrett, M. L., Moy, E., & Andrews, R. M. (2017). Managed care and inpatient mortality in adults: effect of primary payer. BMC Health Services Research, 17(1), 121.
Hu, T., Decker, S. L., & Chou, S. Y. (2016). Medicaid pay for performance programs and childhood immunization status. American Journal of Preventive Medicine, 50(5), S51-S57.
Hurley, L. P., Lindley, M. C., Allison, M. A., Crane, L. A., Brtnikova, M., Beaty, B. L., . . . Kempe, A. (2017). Primary care physicians perspective on financial issues and adult immunization in the era of the affordable care act. Vaccine, 35(4), 647-654. doi:10.1016/j.vaccine.2016.12.007.
Lwembe, S., Green, S. A., Tanna, N., Connor, J., Valler, C., & Barnes, R. (2016). A qualitative evaluation to explore the suitability, feasibility and acceptability of using a ‘celebration card’ intervention in primary care to improve the uptake of childhood vaccinations. BMC Family Practice, 17(1), 101. doi:10.1186/s12875-016-0497-9.
Nierengarten, M. B. (2017). Mental health services in primary care. Contemporary Pediatrics, 34(3), 30-34.
Richard, D. (2017). What is next for behavioral health in managed care? North Carolina Medical Journal, 78(1), 30-32. doi:10.18043/ncm.78.1.30
Williams, M. O., Gilroy, J. R., Chang, T. Y., & Seymour, D. J. (2017). Challenges for insured patients in accessing behavioral health care. The Annals of Family Medicine, 15(4), 363-365.
Mira, J. J., Nu±o-Solin­s, R., Guilabert-Mora, M., Solas-Gaspar, O., Fern¡ndez-Cano, P., Gonz¡lez-Mestre, M. A., . . . R­o-C¡mara, M. d. (2016). Development and validation of an instrument for assessing patient experience of chronic illness care. International Journal of Integrated Care, 16(3) doi:10.5334/ijic.2443
Restorick Roberts, A., Betts Adams, K., & Beckette Warner, C. (2017). Effects of chronic illness on daily life and barriers to self-care for older women: A mixed-methods exploration. Journal of Women & Aging, 29(2), 126-136.

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