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Regulatory Constraints
•Identify three types of managed care plans, such as Preferred Provider Organizations (PPO) and how they impact the way that health care is delivered at Healing Hands Hospital. •Managed care has changed dramatically in the United States over the years. What did managed care look like 10 years ago compared to how it looks today? •Discuss the future of managed care as a viable reimbursement model for Healing Hands Hospital compared to Accountable Care Organization model and valued based reimbursement. •Reimbursement by CMS for Medicare patients is also an important source of revenue for Healing Hands Hospital. Include a description of the different models for Accountable Care Organizations (ACOs) and what would be a good strategy for Healing Hands to ensure the highest level of Medicare reimbursement for the future. •Through legislation such as the Affordable Care Act and MACRA, there are regulations and requirements that are designed to improve patient quality of care and ensure highest levels of reimbursement. Include how these laws impact Healing Hands Hospital and its financial plans .
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