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Accountable value based healthcare

DQ1 – Accountable care Success : After reading about our progress since enactment of the Affordable Care Act, what do you think has been our biggest area of success so far? What factors have contributed to our ability to be successful? Cite evidence from our readings or new information that you have researched. Present some data or analytic results that support your example and viewpoint. We are looking for your interpretation of this data.

DQ2 – Accountable care Failure: After reading about our progress since enactment of the Affordable Care Act, what do you think has been our biggest area of failure so far? What factors have contributed to our failure in this area? Cite evidence from our readings or new information that you have researched. Present some data or analytic results that support your example and viewpoint. We are looking for your interpretation of this data.

DQ3 – High Prices : The Anderson article asserts that the reason the US spends so much on healthcare is the high prices we pay for hospital stays, medicine etc. It goes on to say that there is a widening gap between prices payed in public and private sectors. ACOs and other providers are working to lower their costs. However, the data needed to analyze and understand costs is not always provided to consumers. Despite the triple aim goal of lowering costs, we are not seeing prices for consumers going down. If prices have only gone up despite our efforts, is the goal of lowering prices even possible? What more is needed to successfully address healthcare costs? Cite evidence from Anderson or new information that you have researched. Present some data that you find compelling to support your viewpoint.

Sample Solution

Call centres have also become a global sensation due to the rise in demand in the 1980’s as a result of economic and political decisions. The decision to outsource for call centres across the globe came across as these services can be cheaper for commercial use in some countries than others, which as a result is strengthening globalisation and the global interconnectedness. Hip hop is generally considered to be a creative process, thus coinciding with at least one of the three characteristics of creativity set out by Kaufman and Sternberg (2010, p. xiii), whereas call centres are probably one of the least ‘creative’ aspects one could think of. In fact call centres are today commonly known for being, for the most part scripted, due to the way in which they are ‘evaluated’ by the managerial team – referred to as synthetic personalisation (Fairclough, 1989, p. 62)- and only being able to build a friendly rapport with the customer through their tone of voice and choice of words. Agency in language (Duranti, 2005) focuses on the extent of which people are able to speak freely in a way they like without their language choices being constrained. In hip hop, the creators are able to choose freely of what they want to talk about in any way that they want in order to express themselves. Whereas in call centres it has to be questioned how much one can be creative when their agency in language is carefully monitored? In regards to Hip hop, as previously mentioned, the music is spread across the globe by the means of YouTube, radio etc. (globalisation), they use the language that they like, to convey the message they like, not taking into consideration who this could offend in the process due to cultural differences (this would be glocalisation). Localisation would be creating music and being mindful for their agency in other cultures (not to offend anyone) although the message they want to deliver may not have the same affect in another culture if different words are used. a. Globalisation: refers to ‘a phenomenon which emphasises interconnectedness across the globe and which encompasses a number of significant economic, technological and cultural aspects’ (Swann et all., 2004, p.125). b. Localisation: refers to ‘the maintenance and development of local practices
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