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Describe the routine actions a payer should take to positively influence provider behavior.

Students will submit a written review assignment about a health insurance and reimbursement topic from the text that will be discussed. After reading the assigned chapters for this week, the student will discuss one (1) of the identified discussion topics for this week found at the beginning of each chapter. Once completed, the weekly written assignment will be posted to the assignment link. These assignments are designed to promote the students ability to convey their thoughts and ideas in writing on the challenges inherent in providing health care coverage for individuals as well as providing reimbursement to those who provide care. Each written assignment will be limited to four (4) double spaced pages not including the title page or reference page. 6th Edition APA format required. Please use at least 3 references. For this assignment, please choose one of the below questions: CHAPTER 9 1. Describe the routine actions a payer should take to positively influence provider behavior. 2. What behavior on the part of a payer would likely engender negative provider behavior? 3. Develop policies and procedures for a physician sanction program to deal with unacceptable physician behavior. 4. Describe common physician perceptions, both negative and positive, of managed care. What steps might a health maintenance organization take in regard to those perceptions? 5. How might an organized provider system approach physician behavior change in contrast to a payer? CHAPTER 11 1. Discuss the market forces, trends, and changes in the drug benefit over the past 15 years. 2. Discuss the essential elements of a managed care pharmacy benefit management program. 3. Identify the components of pharmacy program costs and discuss the implications of each. 4. Discuss the advantages and disadvantages for a managed care plan in using a PBM to manage its pharmacy services. 5. Discuss the impact of prescription copayments, cost-sharing, and formulary tiering on pharmacy program costs, drug access, and utilization. The book used for this course: Essentials in Managed Health Care 6th Ed. By: Peter R. Kongstvedt
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Hostile Priming Effects

background on not only hostile priming but on person perception research (and using that description to explain why hostile priming is a socially important phenomenon).Mention the general context in which priming is done, which is trying to better understand factors that influence person perception—expand on this idea greatly to better explain how past person perception research

Develop the project Work Breakdown Structure using the WBS Template.

Deliverable 3 – Create a WBS for a Project Competency Evaluate organizational influences on project management and methods utilized for staffing, managing, and executing projects. Scenario Information You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report. Instructions Work Breakdown Schedule As the project manager, your role is to track and manage the projects you are working on; creating a Statement of Work and a Work Breakdown Structure are tools that can help you manage a project or projects. Below you will create a Statement of work consisting of the basics of the project(s) you are working on. Consider this similar to a business or marketing report, but this will define the project, project scope, and overall strategy of the project. Part One Statement of Work (SOW) Document: Develop the project Statement of Work document to include the following information: Business need Product scope description Strategic plan Part Two As part of your Statement of Work for your project, you will create a Work Breakdown Structure (WBS). The WBS allows for project managers to compose all tasks of the projects into smaller components to ensure a more manageable project(s). Develop the project Work Breakdown Structure using the WBS Template.
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Identify and name at least three risks and name them (risk name). Determine the expected costs for each named risk.

Deliverable 4 – Project Risk Competency Analyze approaches to project risk management techniques used to assess and control project risk. Scenario Information AYou are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report. Instructions Risk Matrix As a project manager for this company, you are to analyze the risks associated with the project. Risks should be identified and defined as cost, probability, impact, and mitigation plans for each risk. Below, you are to provide a risk assessment for the project based on the criteria and template provided. Identify and name at least three risks and name them (risk name). Determine the expected costs for each named risk. Determine the risk probability for each named risk. Include factored risk value (should automatically calculate using the Risk Assessment Matrix template). Determine the risk impact to project (using the drop-down menu in the Risk Assessment Matrix template). Provide the Risk Mitigation Plan. Provide the expected risk retire date (when the risk is no longer a risk).
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Informative Briefing – The Study of Gerontology

For this assignment, you will prepare a speech called an Informative Briefing (3 to 4 minutes) on a topic that you are currently working on or are familiar with. Remember to keep it informative: Just tell us the who, what, where, when, why, and how of your topic. Do not try to convince us to do anything about your topic. If you do not have a topic that is appropriate to share, you can pick any current events topic for your briefing. This topic will also be the basis for your Persuasive Speech in Week 8, so you are encouraged to pick a topic that you are interested in and about which you have an opinion. You will need to incorporate 2 outside sources that support your speech and incorporate those as oral footnotes (sources stated during the speech that support what you are saying). You actually hear these on news broadcasts all the time (“As reported by ABC123 News…” or “As Dr. XYZ from NIH explained…”) – by incorporating them into your briefing you give yourself added credibility for the briefing you are presenting. ****** Speech Topic & References Attached to Order *******
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It is discovered the refrigerated module is too large for the designed refrigerated backpack pouch. What is your course of action?

Deliverable 5 – Finalize Project Schedule and Mitigate Any Delays Competency Evaluate the concepts of work breakdown structure, coding, forecasting, and scheduling as project control functions. Scenario Information You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report. Instructions As the Project Manager, your manager has asked you to prepare a report on unplanned events that have occurred. You have been asked to present this report to a group of managers, and should discuss your course of action for two unplanned events (below) that have occurred for SuperPacks. You will need to analyze the impact of these events in your project management report as a presentation; this can be PowerPoint, Prezi, or any presentation tool. Make sure you address the following questions in your presentation as you will be giving it to the management team. Discuss your analysis on the following events: 1: It is discovered the refrigerated module is too large for the designed refrigerated backpack pouch. What is your course of action? 2: The subcontractor assigned to build the radio module for the backpack has shut down. What is your course of action? 3: Discuss four areas affected by these unexpected events. Three of the areas of the project affected by the events should include changes to budget, human capital, and impact to schedule. Identify one additional area affected by these events.
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Discuss how you would successfully close out this project, such as verifying project scope, contracts, administration, etc.

Deliverable 6 – Closing Out a Project Competency Examine the activities and roles of project integration, time, cost, quality, and resource management when managing projects within organizations. Scenario Information You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report. Instructions You are now in the final phase of being a Project Manager for SuperPacks and need to create a closeout plan on how to terminate or closeout the project. Management has asked you to consider the following checklist below for your closeout plan in a presentation to your team. Your presentation can be created using PowerPoint, Prezi, or any presentation tool. You have been asked to address the following questions in your presentation as you will be giving it to the management team: 1: Create a closeout checklist for your project. What are the key components that you should include? 2: Discuss how you would successfully close out this project, such as verifying project scope, contracts, administration, etc. 3: In your closeout plan, identify the type of termination/closeout process you will use, and explain why that process is appropriate. 4: Consider the control process you plan to use for managing this project to ensure quality is met.
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