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Health insurance began in the early part of the twentieth century as a means to protect an organization’s assets, either its financial assets or its manpower. Since the early days, health insurance evolved into a system of managed care in order to control issues such as overutilization, skyrocketing costs, limited restrictions, and low-quality care.search for articles on health insurance and managed care. Based on your research, summarize your findings and answer the following questions:Examine the main events in the history of health insurance from the mid-twentieth century to the present. Explain how these events led up to the evolution of managed care organizations.Evaluate the purpose of health care insurance in the early days.Evaluate the evolution of health insurance and managed care. What is the relationship between the two and how has managed care risen to prominence in today’s health care market?Explain how the perspective of health insurance has or hasn’t changed in today’s managed care environment.Analyze the public policy and market forces leading to the growth of managed care.Analyze the current trends in managed care and its future in the context of health care reforms.Based on your understanding, create a 4- to 5-page Microsoft Word document that includes the answers to the above questions.Support your responses with examples.Cite any sources in APA format.
PICOT Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following: P- Elderly with recurrent skin infection I- prophylactic antibiotics C- No treatment o- Reduction in the recurrence rate of skin infection T- No admission for recurrent skin infection within 30 days 1) Describe the background of the problem. Tell the story of the issue and why it deserves attention. 2) Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc. 3) Use the feedback from the Module 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization. 4) State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources. 6) Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR 699 Search Method Example” to assist you. 7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem. 8) Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you MUST have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
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