Reading Response #4 requires you to respond to one of two short stories we’ve read so far, either Ellison’s “King of the Bingo Game” or Munro’s “Boys and Girls.” Like all Reading Responses this semester, it will consist of two parts: the summary and your reaction. Your summary should adequately (and concisely) provide a precis of the text and not exceed one five-sentence paragraph. It must also include an integrated quotation from the text. After the summary, you will provide a well-developed, thought-out reaction to the text. You may want to consider how it speaks to a previous work (or works) that we have read or simply explore what interests you about the reading. You have a lot of freedom with these reactions. No matter how you choose to respond, strive to offer an original, provocative insight of your own. Do not, in other words, seek assistance from the internet. You are intelligent, thoughtful readers engaging with some of the most profound literature of human history. Demonstrate your own intellectual conversation with these masterworks.
The Reading Response should be between 1.5 and 2 pages, not including the required Works Cited page.
Author: admin
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“The Power of Identity and Gender in Alice Munro’s ‘Boys and Girls’” Summary: In Alice Munro’s short story “Boys and Girls,” a young girl narrates her experiences growing up on a farm in rural Canada.
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“Exploring the Impact of Social Media on Mental Health: A Literature Review” Reference 1: Title: “The Relationship Between Social Media Use and Mental Health in Young Adults: A Systematic Review” Author(s): Primack, B.A.,
Please follow the rubric and choose 3 references. One for each paper. One from the matrix and one from the references and one from the articles pdf’s
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“Regulatory Framework for Managed Care Organizations: State and Federal Laws and Oversight” “Conflicting Laws and Regulations: Navigating the Impact of State and Federal Requirements on Managed Care Organizations”
This is what the assignment is based on:
Additional Readings
Required Readings
http://search.proquest.com/docview/1545347367/AAA0F6420A5A44DFPQ/1?accountid=45844
http://search.proquest.com/docview/1370827175/A5E07CE11A14835PQ/1?accountid=45844
Lecture Notes
Welcome to Lesson 8, Laws and Regulations in Managed Care. Wow, it is hard to believe that we are at our final lesson. Throughout the course, we have touched on several regulatory acts and guidelines. This lesson will bring all of these concepts together in order to provide the overall framework for the regulation of managed care organizations. Let’s begin this final lesson of managed care.
Managed care organizations are divided into several broad types of structures: HMOs, Point-of-service (POS) plans, Preferred provider organizations (PPOs), and High-deductible health plans (HDHPs). HMOs provide coverage through a network of contracted physicians. Members usually select a primary care physician. Point-of-service plans have similar structure as HMOs. They cover some level of out of network care. The enrollee pays the cost that is not covered by the plan. Preferred provider organizations provide coverage through a contracted network. They also cover out-of-network services. Services outside the network are paid at a lower rate. High deductible health plans use a health savings account (HSA), a healthcare reimbursement account (HRA), or a medical savings account (MSA).
Managed Care Organizations are subject to federal law and oversight by the state. Most of the state regulation is carried out through the Department of Insurance (DOI). The focus is on how managed care is to be provided to individuals, and what can and cannot be done in conducting business. State laws and regulations are to make sure individuals get the coverage they pay for. The State has established requirements for information given to individuals once individuals are enrolled in plans. Enrollees must be provided with evidence of coverage (EOC). An EOC is a document that tells what services are and are not covered. There are other requirements concerning grievances: expected pay from individuals, network doctors, and requirement for preapproval for medical services. The state also requires that an explanation of benefits (EOB) is sent after a claim has been submitted.
The state requires that all health information be protected. An individual’s health information cannot be used without their consent. Any sensitive information regarding health is protected. Individuals must be informed if their health information is compromised. There are also rules regarding utilization, quality, and contraction with providers. There are protections assuring there are adequate providers in the network.
Federal regulations are carried out by a number of agencies. The U.S. Department of Health and Humans Services (DHHS) is responsible for establishing rules and providing oversight of MCOs. They also set the standards for health information privacy and electronic transactions. The U. S. Department of Labor (DOL) sets the rules governing benefits provided by employers and unions. The U.S. Department of Treasury has the authority to enforce tax laws governing health coverage. The U.S. Department of Justice (DOJ) enforces criminal laws and penalties against MCOs.
There are 5 laws that have the most impact on MCOs. The HMO Act provided the first federal recognition of HMOs and set standards for managed care. ERISA establishes rules for employers and union sponsored health coverage. HIPPA is responsible for health information privacy and security. The ACA enacted additional requirement applying to health insurance markets. The federal tax code provides tax preferences to encourage people to purchase health coverage.
There are times when state and federal governments address the same issues. A determination of whether the state or federal law prevails is one of the challenges regarding conflicts. State law may be preempted if they directly conflict with a specific federal requirement. If the MCOs are unable to follow both the state and federal law, the federal requirements prevail. A number of nongovernmental organizations impact MCOs. The first are organizations that establish electronic healthcare transactions. The second are health plan accreditation organizations.
When there are claim disputes involving medical necessity, the state and the ACA require the claim to be reviewed by an independent review organization. The independent review organization is a panel of medical experts. They review the claim and make a determination with the opportunity to present additional information. There is also the National Association of Insurance Commissioners. This is an association of chief state insurance and managed care regulators. This association operates in the 50 states, District of Columbia, and U.S. territories.
Reference
Kongstvedt, P. R. (2016). Health Insurance and Managed Care: What They Are and How They Work (4th ed.). Jones & Bartlett Learning. -
Title: “Economic Recovery, Globalization, Culture Wars, and the Controversial Election of 2000 in the United States”
For this Discussion, answer one of the instructor-provided questions:
What were the sources of the American economic recovery of the 1980s and 1990s? Who benefited from it and who did not, and why was that the case?
Define globalization. Why did it occur? What has been its impact in different parts of the world?
What were the main issues in the various culture wars of the 1980s and 1990s? Why were those struggles so intense?
Explain how, having lost the popular vote in 2000, Bush nevertheless became president. -
“Sociology Test Guidelines for Monday, June 17, 2024”
Here is information about your upcoming test scheduled for Monday, June 17, 2024:
1. The test is online. The test opens at 9:10 am EST. The timer is set for 60 minutes. The test closes at 10:10 am. If you are still answering a question when the test closes, your answer will be automatically submitted.
2. The test covers all material listed in the syllabus and Quercus under Modules Four (chapters and lectures for the following topics: Relationships and Families; Education; Religion; Law, Crime, and Social Control; Health; Mass Media) and Five (chapters and lectures for the following topics: Globalization and Global Inequality; Social Movements).
3. The test will consist of one long answer question. Your answer should consist of logically organized paragraphs using full sentences and proper in-text citations that refer to the textbook (Baker and Innocente 2021) or lecture as appropriate (Baker 2024 or Innocente 2024). A references page is not required. Throughout your answer, you are to make explicit reference to course material only.
4. In addition to the requirement that you make reference to course material only and provide citations as noted in item 3 above, you are not to use generative AI. As noted elsewhere, anything outside of course materials is considered an unauthorized aid. This includes Grammarly; do not use Grammarly or similar. -
“Reviving a Struggling Company: A Case Study on the Challenges and Solutions Faced by XYZ Corporation”
This case write up should focus on (1) company History, timeline which led to the problem if necessary, and any other fact or figure important for introducing the company; (2) identifying and describing all the issues/problems faced by the company; (3) solutions taken by the company (organization) in the case to solve the above mentioned issues/problems; (4) evaluating the solutions taken by the company in the case and articulating pros/cons of the each solution; (5) offering substantiated recommendations to address the stated problem(s)/opportunity (ies) out of the solutions you found from the case. Your recommendations should effectively integrate both case and current information to offer viable options for the company in the case; (6) conclusion of the case study;
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“Analyzing the Impact of Social Media on Mental Health: A Critical Review of the Literature” Introduction: The rise of social media has drastically changed the way we communicate and interact with others. While it has brought about many positive changes, such as
The Assignment (1–2-page template)
Complete the Assignment Template based on the specific components of the article you selected. Make sure to use your own words; quoting is not allowed -
“Exploring the Ethics of Artificial Intelligence: A Critical Analysis”
*** NO AI PAPER ***
FINISH ALL OTHER ORDER BEFORE WORKING ON THIS.
FILE WILL BE UPDATED AT A LATER TIME
Prepare an 8-10-minute narrated PowerPoint presentation on your 6.1 Assignment. Instructions on how to narrate PowerPoint can be found above in the SCLM 436 Narrated PowerPoint Resources section. Please review the 6.2 Presentation Rubric-70 before you complete this assignment!
The narrated PowerPoint presentation should be no longer than 8-10 minutes in length. The narration for each slide should last about 45-60 seconds. -
Exploring Genre and Experimentation in “Night of the Living Dead” (1968)
ANSWER THE THREE DISCUSSION BOARD QUESTIONS BELOW OVER THE FILM, NIGHT OF THE LIVING DEAD (1968.)
1. Can this film be linked with a specific genre and, if so, to what extent does it or does it not fulfill your expectations of that genre.
2. Be aware that many movies borrow or blend elements of multiple genres. Look for familiar formal, narrative, and thematic genre elements, and ask yourself how and why this film uses them.
3. Would you consider this film an experimental film? Does it fit the criteria for experimental cinema? Which of the listed characteristics does the movie seem to fit, and which of them does it diverge from? -
Thinking Like a Historian: Analyzing Change and Continuity over Time Title: Historical Thinking: Exploring the Context, Causality, and Contingency of a Primary Source in US History
Touchstone 4: Thinking Like a Historian
ASSIGNMENT: In this course, you have been introduced to the skills of historical thinking by examining events in modern U.S. history with attention to the Five C’s: change over time, context, causality, contingency, and complexity. Recall each of these historical thinking skills from the Analyzing Primary Sources lesson:
Change Over Time: History happens over a period of time. During any given period of time, people, events, and ideas can change.
Context: Think about historical events in terms of their greater context. Nothing occurs in a vacuum, isolated from the social, cultural, economic, or political setting of the day.
Causality: All historical events have multiple causes and effects. Before the first shot of World War II was fired, a long history of political, economic, and social unrest set the stage.
Contingency: Everything is related. Historians think about the ways in which historical trends and events are related to other trends and events, making connections between them.
Complexity: We live in a complex world. Historians understand this and create historical narratives that reflect a world of different meanings and perspectives.
Historians apply these critical thinking skills when creating accounts of the past. Now, it’s your turn to apply these skills of historical thinking by analyzing topics or events using the same framework.
To complete this assignment, download the submission template below. You will return the completed template as your Touchstone submission.
Thinking Like a Historian Template
Thinking Like a Historian Sample
In order to foster learning and growth, all work you submit must be newly written specifically for this course. Any plagiarized or recycled work will result in a Plagiarism Detected alert. Review Touchstones: Academic Integrity Guidelines for more about plagiarism and the Plagiarism Detected alert. For guidance on the use of generative AI technology, review Ethical Standards and Appropriate Use of AI.
A. Directions
Part 1: Change Over Time
Step 1: Choose Topic and Time Period
From the chart below, choose a combination of one topic and one time period. Within that topic, you will identify and describe something that changed and something that stayed the same over the course of that time period.
EXAMPLE
You might choose to write about U.S. foreign policy between 1970-2016, or immigration between 1877-1920, or the U.S. economy between 1890-1945. You may select any combination of topic and time period that interests you.
Choose One Topic Choose One Time Period
Western Expansion
U.S. Foreign Policy
National Politics
Race Relations
U.S. Society and Culture
Technology and Innovation
Immigration
The U.S. Economy 1877-1920
1890-1945
1940-1990
1970-2016
Once you’ve selected a topic and time period, prepare to respond to the prompts outlined below.
Identify and describe something within your topic that changed over the selected time period, using specific historical evidence to illustrate your point.
Identify and describe something within your topic that stayed the same over the selected time period, using specific historical evidence to illustrate your point.
HINT
If needed, revisit the US History II tutorials. Navigate to the most relevant course units and explore the tutorials related to your selected topic.
Step 2: Record Responses
Record your responses in Part 1 of the Thinking Like a Historian Template. Responses to each prompt should be roughly 5-6 sentences.
Part 2: Context, Causality, and Contingency
Step 1: Choose Primary Source
Choose one primary source from the U.S. History II Touchstone Primary Sources List. You do not need to choose a source from the same time period as Part 1 or follow those time periods in your response to Part 2. Submissions that discuss a primary source that is not on the provided list will be returned ungraded.
Study the source you selected and prepare to respond to the prompts outlined below.
Describe what is happening in the source you selected.
Context: Describe two other things happening in the United States during the topic or event depicted by your source that are related to it.
Causality: Describe two things that happened in an earlier time period that led to what is depicted in your source. Explain the cause/effect relationship.
Contingency: Describe two things that happened in a later time period as a result of what is depicted in your source. Explain the cause/effect relationship.
Step 2: Record Responses
Record your responses in Part 2 of the Thinking Like a Historian Template. Responses to each prompt should be roughly 5-6 sentences.
Part 3: Complexity and Reflection
Answer the following reflection questions in Part 3 of the Thinking Like a Historian Template. Responses to each prompt should be roughly 5-6 sentences.
Were you able to think of more than two things that led to or resulted from the topic or event depicted in your primary source from Part 2? How did you decide which things to write about?
How can you apply these skills of historical thinking to your daily life?
Refer to the checklist below throughout the writing process. Do not submit your Touchstone until it meets these guidelines.
❒ Did you complete all sections of the Thinking Like a Historian template?
❒ Did you choose a primary source from the provided list for Part 2?
❒ Did you review the grading rubric and compare it to your responses?
❒ Did you review the sample submission to see an example of a completed assignment?
❒ Did you proofread your work for proper grammar, punctuation, spelling, and capitalization?