M3D1 Module 3 Controlling Health Care Costs – A Case Study

An active discussion is the key to an interesting and engaging online course. Discussion in this course is designed to simulate a classroom discussion. As others join in the discussion, you should read what has already been posted and add substantively to the discussion. We will go through the questions one at a time, moving on to the next question once we have fully explore the current question. I will guide you through the discussions.

The modules in this course are one week in length. Time goes quickly, so remember to post early! Get in the habit of checking the discussions as often as you can to see what others have posted and to respond. The earlier in the week that you begin posting, the deeper the conversation and learning will be.

In this descriptive case study, you will work together to explore the rationale for how and why decisions are made about health care treatment within cost containment parameters. Please read the case studyPreview the document and then engage in discussion on the questions that follow.

In your opinion, based on what you have learned so far this term:

Lisa had a very strong position regarding Don’s treatment. Based on the information provided in this case and what you have learned so far this term, what arguments would Lisa most likely have made to support his need for this treatment when she approached his insurance company? Why do you think the insurance company was so unresponsive?
Now applying your readings, let’s go through these questions together one at a time. I will guide us through:

Knowing what you now know about methods typically used to manage health costs, what do you think was going on in this scenario? What role did managing health care costs play in the decisions made?
Health providers are in the business of treating and healing people. Yet, providers must also “make ends meet” in terms of income, or they will not remain in practice very long. If you and your classmates were in the position of deciding whether or not Don should receive this treatment, what factors would you want to weigh as you consider your decision? What other information might you want to have available to help you to make this decision? Work together on developing recommendations and be sure to support your recommendations with this week’s materials.
Consider Don’s treatment path from his initial diagnosis through his death. Based on this case and your readings, do you feel it is possible for the health care delivery system to provide compassionate care within the parameters of cost containment? Why or why not? Be sure to speak to some of the current trends in financing that we have learned about this week.

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