Discussion Question:

Write a minimum of a 400-word-essay. APA format 7th edition and one current (less than 5 years old) scholarly source( other than the provided learning material) are required. The book by “Nickitas et al. ” must be downloaded, read chap 9 &10, and and cite them.

Discuss managed care, the initiatives implemented by private insurers to transform healthcare, and the various roles nurses play to improve quality patient outcomes tied to healthcare reimbursement. What are some strategies nurses can use to advocate for healthcare consumers and reduce the increasing cost of healthcare.

Learning Materials

• Nickitas, D. M., Middaugh, D. J., & Feeg, M. D. (2019). Policy and politics for nurses and other health professionals: Advocacy and action. (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers. Read Chapters 9 & 10.

Additional Resources:

• Bird, K., Reney, M., & Ross, R. (2015). Funds flow in the era of healthcare transformation. Healthcare Financial Management, 69(12), 42–47.
• CMS.gov (2019). What’s the quality payment program? (Explore the various links found on the Quality Payment Program website to learn more about the new way healthcare providers are being paid. Also, you will find resources on evidence-based measures that encourage improvement in clinical practice and the utilization of advanced technology that allows providers of care to easily exchange patient information)
• Mulder, J. (2017). The value of “smart growth” in the era of value-driven care. Health Management Technology, 38(9), 6–7.
• Wright, B., Potter, A. J., & Nattinger, M. C. (2016). Iowa Wavering on Medicaid: From Expansion to Modernization. Journal of Health Politics, Policy & Law, 41(2), 287–300.