Health care delivery in the United States 10th edition , Anthony kovner and James knickman. 2 parts: A. Case Study B. Case study discussion (questions) Case Study You have been hired as the director of strategic planning for a health plan that insures 30 % of the residents in ta metropolitan area of 500, 00. Those insure by this health plan are employed mostly by large companies in the metropolitan area, and these companies pay for their employees health insurance. The health plan leaders and the employers both recognize that their business model depends on their success in addressing behavioral risk factors that play a critical role in the prevention and management of chronic diseases, the containment of health care costs and the enhancement of employee productivity. In your new role, you are asked to create a comprehensive plan for addressing these behavioral risks factors, by improving both the clinical care provided and the plan s community-based efforts. Specifically, you want to develop strategies to reduce the level of tobacco use, unhealthy diet and physical inactivity. Case study discussion 1. How would you go about preparing this plan? 2. What mix of interventions would you need to consider that might change enrollee behavior , provider behavior and community policies and environments and maximize the cost-effectiveness for this plan? 3. Write a report to your manager that lays out the assumptions, model(s) and evidence-based strategies you will follow in developing this plan.
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