State Licensure Requirements

Discuss state licensure requirements that an organization must comply with in order to become a Medicare Advantage Plan, any exceptions to the State licensure requirement, and any cases in which special consideration is given to particular types of entities. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years to support the ideas you express in your post.

Week 5 Discussion 2

Military Health System & Tricare
Discuss strengths and threats to the survival of the military health system. Summarize the Tricare program and detail its options for enrollees. What is Tricare’s greatest threat and how can it be avoided? Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years to support the ideas you express in your post.

Week 5 Assignment

Compare/Contrast Paper

Explain the similarities and differences of Medicare and Medicaid managed care plans by comparing and contrasting the following three issues:

> 1.   Strengths, weaknesses and incentives between Medicare and Medicaid.
> 2.   Commitment to access for both plans.
> 3.   Risks to the consumer associated with either plan.

Lastly, provide three recommendations for improvement of each medical plan and your justification for each.

Your paper must be three to four double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. In addition to the course text, utilize a minimum of three scholarly and/or peer-reviewed sources that were published within the last five years. All sources must be documented in APA style, as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

………….Answer Preview……….

Organizations are to be registered with the appropriate statutory bodies to ensure they can work as risk bearing entities. This is based on the fact that it is authorized to provide medical health insurance coverage for its clients and is authorized to accept prepaid capitation for providing, arranging, or paying for comprehensive health services under an MA contract (MA Organization Compliance with State Lawl). The organization’s marketing personnel are as well expected to meet the preset requirements by the state law to avoid job shadowing. The organization is expected to have at least 5000 enrollees in its Medicare………………..

APA

304 Words