Review the information presented in the Learning Resources, including Chapter 12 in the Shi and Singh (2019) textbook and the websites and articles. Analyze the circumstances presented in the two case studies, and consider the following questions:

• Which barriers in the U.S. health care delivery system related to cost, quality, and/or access are evident in each scenario?
• How does the use of health insurance influence concerns or decisions related to cost, quality, and/or access to health care for each person?
• What are the possible health care outcomes in each scenario?
• Analyze at least two barriers in the U.S. health care delivery system related to cost, quality, and/or access that are evident in each person's scenario.
• Analyze how health insurance may influence concerns or decisions related to cost, quality, and/or access to health care for each person.
• Explain potential health care outcomes for each scenario.

Analyzing how you think the patient's situation and the specified barrier would be impacted if prevention were a higher priority in the United States. If you are an international student, you may share examples from your own country that relate to the topics addressed in this Discussion.

LEARNING RESOURCES

Required Readings Shi, L., & Singh, D. A. (2019). Delivering health care in America: A systems approach (7th ed.). Burlington, MA: Jones & Bartlett.

Chapter 12, "Cost, Quality, and Access" (pp. 482-528)

Select and read three or more of the following resources to support your Discussion postings.

Institute for Healthcare Improvement (IHI). (2019b). Quality, cost, and value Links to an external site.. Retrieved from http://www.ihi.org/Topics/QualityCostValue/Pages/default.aspx

Centers for Disease Control and Prevention (CDC). (n.d.-b). Healthy living Links to an external site.. Retrieved December 31, 2019, from https://www.cdc.gov/healthyliving/index.html

Bleser, W. K., Saunders, R. S., Muhlestein, D., Olson, A., Richards, R., Taylor, D. H., & McClellan, M. B. (2019, March 15). Following Medicare's ACO program overhaul, most ACOs staybut physician-led ACOs leave at a higher rate [Blog post] Links to an external site.. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20190311.776139/full/

HealthyPeople.gov. (2019). Foundation health measures Links to an external site.. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People/Foundation-Health-Measures

National Institute of Standards and Technology (NIST). (n.d.). Baldrige Award Recipients listing Links to an external site.. Retrieved December 31, 2019, from https://www.nist.gov/baldrige/award-recipients

Module 2 Discussion 1 Case Studies Raymond Raymond is a 54-year-old man who lives in a rural part of Mississippi. He is a skilled worker, but his job does not provide health insurance. Raymond does not qualify for Medicaid and cannot pay for health insurance. He has not received consistent or coordinated healthcare for most of his life. The closest clinic is over 30 miles away, and he does not have the money for both the healthcare and medical care services and gas. Raymond has been diagnosed with hypertension, and his family history includes pulmonary embolisms and heart disease. Emmanuel Emmanuel is a 55-year-old man who lives in Jackson, Mississippi. He is an office manager and receives insurance from his employer. Emmanuel has had annual medical and dental exams from the same providers for several years. Emmanuel has a family history of Type 2 diabetes and his latest blood test results showed his sugar levels were higher than expected. Emmanuel received a referral from his primary care provider (PCP) to an endocrinologist and a registered dietitian, and he was instructed by his PCP to increase his physical activity.