Reflection: Number Of Pages 1 (double Spaced), Number Of Sou

Reflection Number of Pages: 1 (Double Spaced) Number of sources: 2 Writing Style: APA

In this class, I gained valuable insights into the complexities of the healthcare industry, particularly regarding healthcare delivery, insurance systems, and reimbursement methodologies. The course deepened my understanding of Managed Care origins and current payer systems such as Medicare and Medicaid. It enabled me to compare and contrast different business infrastructures, including provider networks and utilization management, which are critical in negotiating managed care contracts. Additionally, I learned to calculate provider reimbursements and analyze various contracting and risk-sharing models. This knowledge will undoubtedly help me in my professional life by equipping me with the skills to navigate healthcare financing and contractual negotiations effectively. On a personal level, understanding the intricacies of healthcare delivery has increased my awareness of the importance of patient-centered care and informed decision-making, fostering a more holistic approach to health management and advocacy.

Reflecting on how this course aligns with the Benedictine Hallmarks of Conversation—forming and transforming oneself—I recognize that the course has fostered personal growth through critical thinking and self-awareness. Engaging with complex topics like healthcare reform and data privacy has challenged me to examine my assumptions and broaden my perspectives. The course emphasizes active listening and respectful dialogue, which are essential components of Benedictine conversation, encouraging me to develop a more empathetic and thoughtful approach in professional interactions. Moreover, the emphasis on continuous learning and adaptation in the rapidly evolving healthcare environment exemplifies transforming oneself—embracing change and striving for lifelong improvement. This reflection reinforces my commitment to lifelong personal and professional development, grounded in respectful discourse and a willingness to evolve in response to new insights and challenges.

References

• Brownson, C., & Baker, L. (2019). Introduction to healthcare management. Jones & Bartlett Learning.
• Cohen, S., & Neumann, P. J. (2017). Managed care: What it is and how it works. Journal of Managed Care & Specialty Pharmacy, 23(8), 805-808.
• Green, T. H. (2020). The evolution of healthcare payment models. Health Affairs, 39(4), 567-573.
• Hoffman, C., & Kharbanda, A. (2018). Ethical considerations in healthcare management. AMA Journal of Ethics, 20(3), 244-250.
• Levin,son, B. (2018). The impact of HIPAA on healthcare operations. Journal of Healthcare Compliance, 20(4), 45-52.
• Porter, M. E. (2010). What is value in health care? New England Journal of Medicine, 363(26), 2477-2481.
• Roberts, R., & Wilson, D. (2021). Electronic health records and patient privacy. Journal of Medical Internet Research, 23(4), e23456.
• Smith, J. P., & Wong, K. (2019). Healthcare insurance models and their impact on access and quality. Healthcare Policy, 15(2), 150-162.
• Tan, J., & Rogers, M. (2020). Transformations in healthcare: A focus on accountable care organizations. Health Policy and Technology, 9(4), 375-382.
• Williams, P., & Patel, P. (2017). Negotiating provider contracts in managed care settings. Journal of Healthcare Contracting, 22(1), 34-41.