– Trends In Managed Care

Throughout the course, you have been learning about managed care, both past and present. Conduct additional research on trends happening in managed care today. The following websites are a great place to start:

• Centers for Medicare & Medicaid Services
• Kaiser Family Foundation (Search for the series on health care marketplace trends.)

You can also visit the following videos related to managed care trends:

Managed Care contracting and Payer Scorecards

Monitoring Performance: A Dashboard of Medi-Cal Managed Care

After conducting your research, construct a 3-page report of your findings. At a minimum, your report should

1. Identify at least two trends that you feel have a great impact on managed health care today.
2. Discuss the effect these trends have on managed care.
3. Explain how these trends will continue to influence managed care in the future.
4. Evaluate the potential impact on government and state sponsored, Medicare and Medicaid programs.
5. Analyze and provide at least two reasons why implementing Medicaid managed care is so complex.

 

Module 05 – Trends in Managed Care

Scoring Rubric:

Criteria

Weight

Discuss identified trends and their current effects on health care

25

Explain future implications of these trends on managed care

20

Evaluate potential impact of trends on government programs

20

Analyze and reason why Medicaid care is complex

20

All APA criteria are met and proper mechanics are present

15