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Assignment: For this assignment, you create a Power Point Presentation discussion ACA and health insurance. Address the following questions in the presentation Title slide Discuss in your own words a

Assignment:

For this assignment, you create a Power Point Presentation discussion ACA and health insurance. Address the following questions in the presentation

  • Title slide
  • Discuss in your own words at least 2 advantages and 2 disadvantages to MCO’s (2-3 slides)
  • Discuss the specific characteristics of HMO’s (how are HMO’s different from other plans?) (2-3 slides)
  • Discuss the specific characteristics of PPO’s (2 to 3 slides)
  • In your own words, explain how Obamacare/Affordable Care Act has changed healthcare in America. (3-4 slides)
  • Show the case scenarios (below) (4-6 slides)

In each case scenario that follows, calculate the financial responsibility of the patient and/or carrier and the discounted amount that the physician must write off. Show calculations and identify amounts. Student should complete each case on a separate slide. Students can place the questions on the slide, then provide the answers with calculations.

  1. Felix Grossman was seen today for an upper respiratory infection. Total charges for today’s services are $140. The allowed amount is $90. What is thediscount amountand the amount thecarrier paysto the provider?
  2. Emma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What is thepatient responsibility,discount amount, and the amount thecarrier paysprovider?
  3. Mabel Smith was seen in the office today for a checkup on her rheumatoid arthritis. Total charges are $85. The allowed amount is $52. She has a copay of $10. What is thediscount amount, and the amount thecarrier paysprovider?
  4. Rufus Durst had a cholecystectomy performed today. Total charges are $2995.70. His benefits pay 60 percent of this procedure. The allowed amount is $1745.32. What is thepatient responsibilityamount,discount amount, and the amount thecarrier pays? What amount will thephysician write off?

For this section, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. If you include pictures, you pictures should also be referenced and cited.

Assignment Expectations:

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