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Discuss basic approaches and techniques used in utilization management.

Current Trends and Issues in Managed Care

Using the South University Online library or the Internet, research on a series of topics that will help you understand the current issues regarding managed care. You can use keywords, such as (but not limited to) managed care, current trends and issues in managed care, pharmacy benefit management, or utilization management. Like many other aspects of health care, managed care is continually changing and evolving to meet current consumer and market demands. This week, you are required to write an essay on the following topics:

Pharmacy benefit management
Utilization management

Use the following guidelines for developing your essay:

Select at least two articles for each topic from the SUO library, and write a review for each source of information.
Present a summary for each topic tying together the information learned about that topic.
Describe and evaluate the market forces, current trends, and changes in drug benefit programs over the last fifteen years.
Discuss basic approaches and techniques used in utilization management.
Analyze the future of utilization management approaches. How might they change and why?
Justify your ideas and responses by using appropriate examples and references from reputable and scholarly texts, websites, and other references.

Based on your research, summarize your findings on the selected topics and compile your observations in a 5-page Microsoft Word document.

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Assignment 2 Grading Criteria
Maximum Points
Selected at least two reputable articles per topic and write a review for each source of information (each article).
20
Presented a summary for each topic.
20
Described and evaluated the market forces, current trends, and changes in drug benefit programs over the last fifteen years.
40
Discussed basic approaches and techniques used in utilization management.
20
Analyzed the future of utilization management approaches and how the techniques might change.
40
Justified your ideas and responses by using appropriate examples and references from reputable and scholarly texts, websites, and other references.
20
Written components

Determine four (4) advantages and four (4) disadvantages of telecommuting from an IT manager’s point of view.

he number of American telecommuters is expected to increase by 29 million telecommuters or 43% of the workforce by 2016 as more work gets performed from remote locations. Mobile workers can work from wherever they are and use the IT / IS technology necessary to access co-workers, company or corporate infrastructure, intranets, and other information sources.

Write a two to three (2-3) page paper in which you:

Describe the impact of telecommuting on energy conservation, IT operational costs, “green computing”, and shifts in telecommuters’ lifestyles (e.g., parents, disability, etc.).
Describe how the business infrastructure should be designed so that employees will be able to continue to perform business functions in the event of a disaster (i.e., storm, hurricane, or earthquake) that destroys or makes it impossible to access the buildings.
Determine four (4) advantages and four (4) disadvantages of telecommuting from an IT manager’s point of view. Elaborate on each advantage and disadvantage.
Examine the effect of Bring Your Own Device (BYOD) to the IT infrastructure with regard to security, IT support, knowledge, and data management, green computing, and telecommuting.
Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources

Explain whether the choices you would have exercised were based on internalized or externalized behaviors and values.

Examine ethics in your career as a business professional in the following scenario:

You have just started out as a junior executive in the purchasing department of your organization. Your boss has spent fifteen years in this department. One day while you are in a meeting with your boss and a potential vendor, you see your boss accepting a large yellow envelope and tucking it quickly into his pocket. This concerns you because you suspect the vendor is a member of a local gang. You have heard that the person has a criminal record and has a history of bribing local businesses to gain accounts, however, due to a lack of evidence, the person has never been charged. You ask your boss about the individual, and he tells you not to worry about it. You wonder whether you should report the incident to human resources or your organization’s legal department or not.

Later, as you continue to question your boss about “the envelope,” your boss finally responds and says it has been a long-established tradition for local vendors to donate to the purchasing organization’s favorite charity, and in return, the organization gives special consideration to the vendor in making purchasing decisions.

Based on the given scenario, address the following:

What choices did you have prior to hearing your boss’s explanation of the envelope? What would you have done and why?
Given what the boss later responded about the envelope, how did that explanation impact your thoughts, choices, and actions on the matter?
Explain whether the choices you would have exercised were based on internalized or externalized behaviors and values.
Which ethical beliefs would support reporting or not reporting your boss?
Can ethics be taught? What role does on-the-job training play?

What is the number of unemployed in this market?

When forming a graph or model it is not necessary to provide perfectly proportioned graphs, just draw it on the paper and take the photo by smart device. It is necessary to accurately present all relevant labels and to include all available or calculable data points and their respective values. 3 sentences for each short answer question.

Consider a labor market in which LD = 500 – 45W and LS = -200 + 25W.

What is the equilibrium value for labor?

What is the market clearing wage?

What is the reservation wage?

What is the number of unemployed in this market?

If a wage of $10.25 were to be imposed on this market, what would be the value for labor supply?

At a wage of $10.25 what would be the value for labor demand?

Provide a properly labeled and appropriately articulated Labor Market Model given the labor supply and demand equations provided and the imposed wage of $10.25.(graph)

Based on the labor market model you’ve now illustrated, how would you describe the current condition of this market given the imposed wage? Be specific and use values in description as appropriate.(short answer)

Consider a labor market in which LD = 400 – 4W and LS = 250 + 3W.

Provide a properly labeled and appropriately articulated Labor Market Model given the labor supply and demand equations provided.(graph)

Based on labor market model you’ve now illustrated, how would you interpret this labor market? Be sure to discuss those issues you see arising from your interpretation of the graphic model. Be specific and use values in description as appropriate.(short answer)

Write (400 words) reaction paper about Martin Luther King Celebration Day (in your reaction – including feelings, how were you impacted, any questions you may have and share any opinion you may have.

Martin Luther King celebration (400) words

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Write (400 words) reaction paper about Martin Luther King Celebration Day (in your reaction – including feelings, how were you impacted, any questions you may have and share any opinion you may have

Analyze why and how leadership determines what to measure in regard to quality improvement measures; how leadership’s role in measurement helps determine quality.

Quality Improvement in Healthcare, measurements and leadership

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300-400 words; Analyze the role leadership plays in measurements. Analyze why and how leadership determines what to measure in regard to quality improvement measures; how leadership’s role in measurement helps determine quality.

Do you believe that the government has the obligation to provide victim compensation?

Be sure to save an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English, spelling and grammar. Sources must be cited in APA format. Your response should be four (4) double-spaced pages; refer to the “Assignment Format” page located on the Course Home page for specific format requirements.

According to your textbook, proponents of victim compensation have philosophical bases for believing that the government has the obligation to provide victim compensation.

1. Discuss two (2) of these reasons.

2. Do you believe that the government has the obligation to provide victim compensation? Provide two (2) supporting facts to justify your position.

Grading Rubric

Please refer to the rubric below for the grading criteria for this assignment.

What does the textbook say is “the great advantage” of the NIBRS data?

Your textbook discusses the National Incident-Based Reporting System (NIBRS).

Briefly describe the NIBR.

Describe two (2) advantages and two (2) disadvantages of the NIBR.

What does the textbook say is “the great advantage” of the NIBRS data?

Grading Rubric

Please refer to the rubric on the following page for the grading criteria for this assignment.

Define, describe, and explain the principles of critical thinking.

In preparation for discussing the importance of critical thinking skills, please read Chapters 1 through 3 of Think Smarter: Critical Thinking to Improve Problem-Solving and Decision-Making Skills, as well as the following articles: “Critical Thinking and the Challenges of Internet,” “Common Misconceptions of Critical Thinking.”

Define, describe, and explain the principles of critical thinking.
Search the Internet, media, or the Ashford University Library, and find an example of good, careful (critical) thinking, and explain why you think it exemplifies strong critical thinking skills. Post a link or reference information for that source, describe the content, and explain how it is a good example of critical thinking.
Search the Internet, media, or the Ashford University Library and find an example that lacks good, careful (critical thinking). Post a link or reference information for that source, describe the content, and explain why you think it demonstrates poor critical thinking skills.
Support your claims with examples from required material(s) and/or other scholarly sources, and properly cite any references.

Your initial post should be at least 250 words in length

Briefly describe 3 living conditions in developed countries that have reached phase four, and contrast them with these same conditions in developing countries that remain in earlier phases.

You will write a research paper about the demographic transition model and global food production and distribution for a growing human population to meet global food security goals. You must use APA format for the paper and documentation.

Include the following:

Describe the demographic transition model and how it was developed by demographers.
Describe the 4 phases of demographic transition.
For each phase, compare crude birth rates (CBR) to crude death rates (CDR), and state whether the population is stable, growing, or declining in each. ·
According to demographers, what factors lead to a decline of the CDR in phase two and the CBR in phase three of the demographic transition? ·
Briefly describe 3 living conditions in developed countries that have reached phase four, and contrast them with these same conditions in developing countries that remain in earlier phases.
Note: When comparing and contrasting, include details for each of the entities being compared and contrasted. For example, if comparing availability of clean water in a developed country, contrast availability of clean water in a developing country.
Research and describe a program for developing countries that would help improve 1 of the 3 conditions that you compared.
Food security means that everyone has an adequate amount of nutritious food to lead healthy lives. Research and describe 1 specific program that helps developing countries reach food security goals