RESEARCH ON DIFFERENT MCOs

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You are a new physician setting up your own practice in a new town. You are researching the different MCOs offered in your area and are considering becoming a physician for one of these networks. You have also invited the sales representatives of several health plans to speak with you about the benefits of choosing their plans.

Based on the above scenario, answer the following questions:

  • What effects would joining a MCO have on your clinic regarding staffing, patient volume, and financial stability?
  • What policies and procedures should be used by the MCOs to reduce costs for their clientele?
  • Discuss the ethical issues or concerns about MCOs providing a lower quality of care compared to traditional fee-for-service (FFS) organizations? RESEARCH ON DIFFERENT MCOs
  • What are some of the questions you would ask each representative about his or her company’s specific plan that will help you make a decision?
  • Do you believe that the evolution of MCOs and consumer driven health plans (CDHPs) has affected the healthcare environment today by integrating the financing and delivery of healthcare services? If yes, how?
  • How have the roles and relationships between physicians and patients changed by each of these types of plans?

Post your complete response to one of the discussion questions in the appropriate threads in the Discussion Area.

Discussion Question 1

Answer the following:

  • Coaching and mentoring should be a core competency of nurses prepared at the graduate level. Do you agree or disagree with this statement? Defend your response.
  • Based on your graduate specialization, identify one coaching activity that you can do in this advanced practice role. What strategies would you employ for this activity?
  • Describe one mentoring activity you might complete with a mentor that would help you to acclimate to your new advance practice role. Should this activity be structured or unstructured? RESEARCH ON DIFFERENT MCOs

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Discussion Question 2

Consultation is a core competency of graduate nursing. Answer the following:

  • Differentiate consultation from supervision?
  • Are consultation and collaboration synonymous? Defend your response.
  • Give an example of how you have seen the consultation competency practiced in your current nursing area. Explain if the practice followed the graduate competency criteria.

Memo: Textbook: Advanced Practice Nursing: An Integrative Approach  5th Edition. RESEARCH ON DIFFERENT MCOs