Reflective Essay 2

Before ENGLCOM, I usually don’t put sources in essays. In our ENGLCOM class, we were taught how to use APA style citation and how to use them in essays. Before I only put the link of the web pages after my essays but now, I learned how to cite sources using APA citation and the in-text citation. I learned how to make an effective thesis statement. I thought that a thesis statement is only used in thesis and not in essays. I now know that thesis statements are required because it tells the readers the topic and the main idea of the essay. One of my expectations in this subject was to expand my vocabulary. I have improved my it by writing essays and reading articles. I still need to improve my vocabulary to write better essays. My other expectation was to learn how to organize my ideas. Before writing our essays, we first make topic outlines so we know what to write in our essays. It also helps in organizing ideas. The course helped me achieve my goals in English. One of my problems is that I do not read much. In this course, we are required to read articles because we need sources to write essays.

• Identify Tricare’s greatest threat and the solution(s) to the identified threat. Your initial post should be at least 300 words. Support your response with a minimum of two scholarly sources that were published in the last five years. Guided Response: Compare the differences and similarities between your and your peer’s selected vital facts about Medicare Advantage Plans. Be sure to support your response by citing at least one scholarly source to validate your assertions. Respond to at least two of your classmates’ posts. Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread. • Distinguish the roles of Medicare and Medicaid managed care plans in the healthcare delivery system. • Assess the similarities and differences between Medicare and Medicaid managed care plans by comparing (a) strengths, weaknesses, and incentives; (b) commitment to access; and (c) risks to the consumers. • Synthesize two recommendations for improvement, including your justification, of each managed care plan. • Must be three to five double-spaced pages in length (excluding title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center.

• Must include an introduction and conclusion paragraph. • Must use at least three scholarly, peer-reviewed, and/or other credible sources in addition to the course text. The Scholarly, Peer Reviewed, and Other Credible Sources table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Be sure to integrate your research rather than simply inserting it. • Must document all sources in APA style as outlined here and here. • Must include a separate references page that is formatted according to 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. In preparing for this discussion, read Chapters 28, 29 and 30 of the course text.

• Step 1: Select one law from (1) Employee Retirement Income Security Act (ERISA), (2) Consolidated Omnibus Budget Reconciliation Act (CORBA), (3) Health Insurance Portability and Accountability Act (HIPAA), or (4) Patient Protection and Affordable Care Act (PPACA). Summarize the selected law. Describe its impacts on individuals, employers, and payers. • Step 3: Create a multimedia presentation for two questions in Step 2. Review the Screencast-O-Matic Quick-Start Guide and visit Screencast-o-Matic website to get started. You could also use Jing. The use of a webcam is not required to use a screencast program; however, screencasts do require the use of a computer microphone. • Step 4: Post the link to your multimedia presentation along with your script to the discussion forum. Your initial post should be at least 300 words. Support your response with a minimum of two scholarly sources that were published in the last five years. Guided Response: Challenge your peers to think about the impact of the selected law on a type of managed care plans. Be sure to support your response by citing at least one scholarly source to validate your assertions.

Respond to at least two of your classmates’ posts. Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread. The Final Paper must have depth of scholarship, originality, theoretical and conceptual framework, clarity and logic in its presentation and adhere to grammar guidelines. You select either one of the emerging managed healthcare delivery models, Accountable Care Organizations or Patient-Centered Medical Homes, for your Final Paper. The 10-15 page paper (excluding title and reference pages) must follow APA style as outlined in the Ashford Writing Center and contain at least 10 scholarly, peer-reviewed, and/or other credible sources in addition to the course text. • Include an Abstract which is a synopsis of the overall paper. • Managed Health Care Quality – Address what the selected emerging managed healthcare delivery model has done to improve quality of care. • Cost Containment – Describe how the selected model has striven to contain the costs.