HI 215 Global Reinbursement Methodologies & Quality Assurance Discussion

HI 215 Global Reinbursement Methodologies & Quality Assurance Discussion

HI 215 Global Reinbursement Methodologies & Quality Assurance Discussion

HI215: Reinbursement Methodologies

Topic #1: The Importance of Insurance

Do you know enough about how health insurance works? About your own health insurance? What about your particular state that you live in?

Instructions:

Access the  and search for your state.

  • Does your state’s insurance commission have a mission?
  • List at least two consumer-related topics on the insurance commission’s website.
  • In your own opinion why do you think it is important, or not, to have health insurance?
  • What is the impact of not having health insurance from a personal perspective and psychosocial perspective?

Reference:

National Association of Insurance Commissioners. (2020). . 

HI230: Quality Assurance and Statistics in Health Information

Topic #2: Communication Plan
Visit 
The experts explain that a communication plan should describe needs and expectations. It should also be specific to need to know parties, as well as being consistent and timely. Why do you think this is this so important? What are the positive effects of the well thought out success plan and the negative?

Criteria Level III Level II Level I Not Present Criteria 1 Level III Max Points: 4 points Level II Max Points: 3.2 points Level I Max Points: 2.4 points Not Present 0 points Criteria 1: Initial Post Content Quality ● Responds to all parts of the topic(s) with supporting details. ● Responds to all parts of the topic(s). Any of the following are true: No initial post to the topic(s). ● Post includes original thoughts, opinions, or ideas. ● Post includes support from multiple outside sources and/or course materials if required. Criteria 2 Criteria 2: Responses to Others and Engagement in Social Learning ● Post includes original thoughts, opinions, or ideas. ● Post includes support from one outside source and/or course materials if required. ● Does not respond to all parts of the topic(s). ● Post shows no originality when compared to other responses. ● Post does not include outside sources and/or course materials if required. Level III Max Points: 3 points Level II Max Points: 2.4 points Level I Max Points: 1.8 points Not Present 0 points ● Posts two or more responses to others. ● Posts two or more responses to others. Any of the following are true: No responses or ● Does not post at least two responses to others. responses do not follow professionalism and netiquette. ● Two or more responses to others ask follow-up questions or provide additional ideas that expand ● One response to others ask follow-up questions or provide additional ideas that expand on the topic. ● HI 215 Global Reinbursement Methodologies & Quality Assurance Discussion
Responses to others do not ask follow-up questions or provide additional ideas Criteria Level III Level II on the topic. Criteria 3 Criteria 3: Post timeliness and length *(applies to DBs with posted length requirements) Level I Not Present that expand on the topic. Level III Max Points: 1.5 points Level II Max Points: 1.2 points Level I Max Points: 0.9 points Not Present 0 points ● Provides an initial post by 11:59 p.m ET on Sunday. ● Provides an initial post by 11:59 p.m ET on Sunday. Any of the following are true: No posts. ● All posts and responses to others meet length requirements (or no length requirement stated). Any of the following are true: ● Provides an initial post after Sunday. ● Initial post does not meet the length requirement. ● None of the posts meet length requirements. ● Responses do not meet length requirements. Criteria 4 Criteria 4: Spelling / Grammar / Formatting / Mechanics Level III Max Points: 1.5 points Level II Max Points: 1.2 points Level I Max Points: 0.9 points Not Present 0 points ● HI 215 Global Reinbursement Methodologies & Quality Assurance Discussion
Displays college-level writing in Standard English free of spelling, grammar, or punctuation errors. Any of the following are true: Any of the following are true: No posts. ● Displays college-level writing in Standard English with few spelling, grammar, or punctuation errors. ● Writing includes frequent spelling, grammar, and/or punctuation errors. ● Includes citations when additional sources are used, including title, author, ● Citations are included when additional sources are ● Citations are included when additional sources are used but only include one or Criteria Level III Level II Level I Not Present publication date, and access type (URL, text information, etc). used, but any of the following may be incomplete: title, author, publication date, and access type (URL, text information, etc). two of the following elements: title, author, publication date, and access type (URL, text information, etc). Maximum Total Points 10 8 6 0 Minimum Total Points 8.1 6.1 0.1 0 …
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