How payers’ impact health care delivery settings

Assignment Purpose:

To understand how payers’ impact health care delivery settings.

Assignment Description:

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Part 1:

“High-risk pools” are offered by many states to provide healthcare insurance to people who have been denied healthcare insurance from other entities. Perform research on a state of your choosing (check out http://www.naschip.org/states_pools.htm (Links to an external site.) for links and more information) and answer the following questions:

  1. Does your state offer healthcare insurance for high-risk patients?
  2. What is the name of your state’s healthcare insurance for high-risk patients?
  3. What are the eligibility requirements?
  4. How much are premiums, deductibles, coinsurance, and co-payments?
  5. What other information does the state’s plan offer the state’s citizens?
  6. Would you be able to afford your state’s healthcare insurance plan for high-risk patients?

Part 2:

Those individuals who take advantage of high-risk pools often do so because they are unable to obtain insurance through conventional methods.  Conduct some research online to better understand how payers (ex. insurance companies) and providers (ex. doctors, other care providers) across various care settings (ex. outpatient, inpatient) currently deal with patients who have chronic or costly conditions. How does the payer impact the care of the patient across the continuum of care?

Your assignment is to construct a 2-page position paper in which you discuss how payers and providers across the various care settings can most effectively interact with patients outside of high-risk pools. Include in your defense of this topic the cost to all Americans for coverage of high-risk pools and its impact on the delivery of healthcare.

This assignment must be submitted as a separate document created in Microsoft Word and attached to this assignment in Blackboard.  Sources must be appropriately cited.