The Affordable Care Act reformed healthcare for people living in the United States. by extending health insurance coverage, expanding Medicaid programs, and supporting innovative medical care delivery. While this act improves coverage and reduces health care costs, there are still issues with accessing medical care. One major concern is the lack of utilization for preventive services which presents the opportunity for Test and Trace. Their mission is to use evidence-based research, best practices, and peer review to implement changes to current health practices by identifying high-risk members. Payers are the clients that Test and Trace will contract with to (1) identify the needs of members and track health outcomes, (2) refer members to medical services and community resources, and (3) health promotion activities. Test and Trace will offer tools and resources designed to monitor and support members by expanding screenings and preventive measures to reduce costs for payers. This business proposal will elaborate how Test and Trace plans to become the premier choice for insurance companies to reduce the use of hospitalization, readmissions, and emergency room visits for high-risk members who do not have the opportunity to use their preventive resources.
|Commitee:||O'Lawrence, Henry, Gotz, Cindy|
|School:||California State University, Long Beach|
|Department:||Health Care Administration|
|School Location:||United States -- California|
|Source:||MAI 82/6(E), Masters Abstracts International|
|Subjects:||Health care management, Public policy, Epidemiology|
|Keywords:||Affordable Care Act, Preventive services, SDOH, United States, Medical care delivery, Medical care access, Hospitalizations, Readmissions, Emergency room visits, High-risk patients, Preventive resources|
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