A Federalists Speech essays

A Federalist's Speech papers A Federalist's Speech (I caused this to up really) A significant number of us are overcompensating; the Constitution isn't intended to abuse us. Starting at now, our states are helpless. Do you genuinely believe that one of our states can keep up their autonomy from the British all alone? Endurance as a regarded country requires the exchange of significant, however constrained, forces to a focal government, and this should be possible without crushing the personality or self-sufficiency of independent states. I resemble you; none of us needs to supplant one abusive government with another brought together, over the top system. Yet, our Articles of Confederation were precarious and muddled, and they took into consideration frivolous desire and rivalry between states. Americans, we should join together; yet I see that we should likewise have a perceived leverage. This Constitution takes into consideration this new sort of equalization, never accomplished somewhere else. Without a doubt, the Federalist Papers themselves show an equalization or bargain between the national penchants of Mr. Hamilton-who mirrors the business interests of a port city, New York-and the attentiveness of Mr. Madison, who shares the doubt of far off power broadly held by Virginia ranchers. As opposed to the outright power of each state conceded by those Articles, the states will hold a leftover sway in every one of those zones that don't require national concern. The very procedure of endorsement of the Constitution represents the idea of federalism instead of patriotism. As our companion Mr. Madison puts it: This consent and approval is to be given by the individuals, not as people forming one whole country, yet as making the unmistakable and individual States to which they separately have a place... The demonstration in this manner setting up the Constitution won't be a national however a government demonstration. Under this Constitution, we will have a simultaneousness of forces between the national and state governments, similar to the planets rotating around the sun... <!

Edward Weston Biography Essay Example For Students

Edward Weston Biography Essay Weston is, in the genuine sense, one of only a handful barely any innovative craftsmen of today. He has reproduced the issue structures and powers of nature; he has made these structures smooth of the crucial solidarity of the work. His work lights up keeps an eye on inward excursion toward flawlessness of the soul. Ansel Adams, Date Unknown Edward Weston 1886-1958 may appear as though he was a confounded man in attempting to locate his photographic objectives. Much the same as numerous different picture takers, both of his time and now, he endeavored to discover what genuinely fulfilled his ability and the acknowledgment of himself. He produced something for all picture takers. This was achievement and acknowledgment as a great ace of twentieth century photography. This was an inheritance that tells a fascinating story; it tells a story of a thousand or more fruitful and adored photos, an every day diary, and an existence with its high points and low points and wide measurements. He was conceived in Highland Park, Illinois, and consequently he was an American picture taker. His mom passed on when he was five, conceivably the purpose behind his jumping out of his tutoring. At the age of sixteen 1902, his dad got him a Kodak box camera Bulls-Eye No. 2. Before long he was setting aside cash to purchase a superior 5x camera with a tripod. Taking photos intrigued and fixated him. He composed, I required no companions now. . . Sundays my camera and I would take long vehicle rides into the nation. . . In 1906, two things occurred. Initial, an accommodation of his was imprinted in the magazine Camera and Darkroom. This photo was called essentially Spring. Also, he moved to California to fill in as an assessor for San Pedro, Los Angeles and Salt Lake Railroad. From that time on, his inclinations lied in everything that was irregular soothsaying, the mysterious, nudism, vegetarianism, and so on.. Possibly he never was a lot of a conventional kind man or picture taker. He returned to Illinois for a while to go to the Illinois College of Photography. The motivation behind this was to show his sweetheart, a little girl of a well off land-proprietor that hed bring in cash for them. He at that point went to California for good. This lead to marriage in 1909 and to two children soon a while later. During this time, Weston additionally turned into the establishing individual from the Camera Pictorialists of Los Angeles. 1911: Began a picture studio in Tropico, California. This studio would remain open until 1922. Additionally 1911: He began composing articles that were distributed in magazines. One of these magazines was called American Photographer. His third and fourth children were conceived in 1916 and 1919. Weston had consistently delighted in photography as a workmanship, at the same time, in 1915, his visit to the San Francisco Panama Pacific Exhibition started a progression of occasions that would lead him to a disavowal of pictorialism. At the show, he saw dynamic works of art. These made him promise to catch the physical nature of the articles he captured with the most honed honesty and exactitude. In this way started a disappointment with his own work. In 1922, he ventured out to Ohio and took photos of the Armco Steel Plant and afterward went to New York. There he met Alfred Stieglitz, Paul Strand, Charles Sheck and Georgia OKeefe. From that point forward, he denied pictorialism all together. He frequently made a trip to Mexico during the 1920s, and his photos included nudes. One of these nudes, named Tina Modotti, would transform into his very own relationship, separating his marriage. He made numerous photos in Mexico. Some were distributed in the book Idols Behind Altars by Anita Brenner. During this time, he likewise started to photo shells, vegetables and nudes. In 1929, his first New York display happened at the Alma Reeds Delphic Studios Gallery and later appeared at Harvard Society of Contemporary Arts. His photos were appeared alongside any semblance of Walker Evans, Eugene Atget, Charles Sheeler, Alfred Stieglitz, and numerous others. In 1932, he turned into a Charter part, alongside Ansel Adams, of the Group f/64 Club. The club was additionally established that equivalent year. The objective of this club was to make sure about greatest picture sharpness of both closer view and separation. .u3d5970940fa12f15e248f305d3d815a4 , .u3d5970940fa12f15e248f305d3d815a4 .postImageUrl , .u3d5970940fa12f15e248f305d3d815a4 .focused content zone { min-stature: 80px; position: relative; } .u3d5970940fa12f15e248f305d3d815a4 , .u3d5970940fa12f15e248f305d3d815a4:hover , .u3d5970940fa12f15e248f305d3d815a4:visited , .u3d5970940fa12f15e248f305d3d815a4:active { border:0!important; } .u3d5970940fa12f15e248f305d3d815a4 .clearfix:after { content: ; show: table; clear: both; } .u3d5970940fa12f15e248f305d3d815a4 { show: square; change: foundation shading 250ms; webkit-progress: foundation shading 250ms; width: 100%; haziness: 1; change: mistiness 250ms; webkit-progress: darkness 250ms; foundation shading: #95A5A6; } .u3d5970940fa12f15e248f305d3d815a4:active , .u3d5970940fa12f15e248f305d3d815a4:hover { obscurity: 1; change: murkiness 250ms; webkit-progress: darkness 250ms; foundation shading: #2C3E50; } .u3d5970940fa12f15e248f305d3d815a4 .focused content region { width: 100%; position: relative; } .u3d5970940fa12f15e248f305d3d815a4 .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; content adornment: underline; } .u3d5970940fa12f15e248f305d3d815a4 .postTitle { shading: #FFFFFF; text dimension: 16px; textual style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u3d5970940fa12f15e248f305d3d815a4 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; fringe span: 3px; box-shadow: none; text dimension: 14px; textual style weight: intense; line-tallness: 26px; moz-outskirt range: 3px; content adjust: focus; content design: none; content shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/straightforward arrow.png)no-rehash; position: outright; right: 0; top: 0; } .u3d5970940fa12f15e248f305d3d815a4:hover .ctaButton { foundation shading: #34495E!important; } .u3d5970940 fa12f15e248f305d3d815a4 .focused content { show: table; stature: 80px; cushioning left: 18px; top: 0; } .u3d5970940fa12f15e248f305d3d815a4-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u3d5970940fa12f15e248f305d3d815a4:after { content: ; show: square; clear: both; } READ: Murder in Black and White: Victorian Crime Scenes and the Ripper Photographs EssayIn 1934, Weston pledged to make just unretouched representations. He strived to be as distant from pictorialism as he could. In 1935, he started the Edward Weston Print of the Month Club. He offered photos for ten dollars each. In 1937, he was granted the main Guggenheim association. In 1940, a book called California and the West included his photos and the content of Charis Wilson his new spouse not the naked, Tina Modotti. In 1941, Weston was charged by the Limited Editions Club to delineate another version of Walt Whitmans Leaves of Grass. W eston began experiencing Parkinsons sickness in 1946. That equivalent year the Museum of Modern Art in New York City highlighted a review of his work; 300 prints were in plain view. To kind of close down from capturing, Weston went to his most loved shooting spot at Point Lobos. There he would take his last photos 1948. For the following ten years, he regulated his two children in the printing of Edward Weston life works. Likewise, in 1952, he distributed a Fiftieth Anniversary Portfolio. He passed on in 1958 at his home in Carmel. From his popular investigations of the green pepper to his preferred spots at Point Lobos, Weston was basically worried in shooting nature. That is the reason his photos included still-lifes, shells, tree stumps, dissolved rocks, female nudes, scenes, and other common structures. His 1936 aggregation of photos of California sand rises is considered by numerous individuals to be his best work. Many feel he carried recovery to photography, and possibly he did. It appears, regardless, that pictorialism never left him. Regardless of how sharp and honest his photos became or were, they appeared to consistently have a pictorial vibe. Perhaps some time or another Ill perused the day by day diary he kept, called Daybooks. It was distributed, a large portion of it after his demise. Perhaps then I could discover what Point Lobos implied and what the states of the vegetables, shells, and the moving rises implied. Perhaps I could comprehend his fixation on female nudes and their shapes and his short time of mechanical scenes. The story is told. Weve seen the photos, not many among thousands. Weve seen the expansive measurements that incorporated his life. Weve additionally observed the diary, his day by day spilling out. It is without a doubt a genuine heritage, an inheritance that lives on through the sharp, very close photos.

Zara: It for Fashion

Report Title: Zara: IT for Fashion Executive Summary: Zara is a style organization established by Amancio Ortega in Spain in 1975. It is a piece of Inditex holding organization, a huge design retail chain that works five other apparel brands. Since its commencement, Zara has been monetarily exceptionally fruitful as it contributes the most to Inditex’s generally speaking income. Additionally, Zara’s quick development is spoken to by its monstrous worldwide nearness; it has stores everywhere throughout the world from Americas to Middle East to Europe, its chief market. In my examination, Zara’s upper hand lies in its capacity to mass produce a huge scope of exceptionally requested most recent architect garments quicker than its different rivals in the business. By prudence of being first in the market, Zara can increase a bigger lump of the income pie than its rivals. Be that as it may, Zara’s budgetary achievement and worldwide brand acknowledgment conceals numerous basic wasteful aspects and wastages over its specialty units. My examination shows that Zara’s principle issue comes from its failure to esteem the significance of having the correct data at the perfect time. This is confirm by Zara’s aversion to put resources into appropriate innovative framework that gathers, breaks down and deciphers important information to settle on the best choices. Moreover, Zara’s hierarchical structure is tormented with disconnected specialty units that neglect to comprehend the connection between two separate units inside the associations. This flawed hierarchical structure has not just seriously hampered Zara’s capacity to collect collaborations among its specialty units yet in addition has become the wellspring of lost income because of wasteful aspects and wastages. At last, the way of life of settling on significant business choices inside Zara by its administration dependent on hunch as opposed to an all around dissected business data, designs and measurable strategy, incredibly threats Zara’s upper hands over its rivals. I would prescribe Zara to handle its two greatest problems†a) nonattendance of present day innovative framework and b) absence of gathering, putting away and sharing foundation expected to create fundamental business data to settle on quality choices. This proposal involves the utilization of Windows based new POS framework for all the Zara stores. Likewise, the utilization of distributed computing to by and large store every one of its information that could be utilized in age crucial business data. Besides, I would suggest the utilization of tablets rather than handheld PCs to expand productivity and correspondence capacity in all of Zara stores. I would extensively partition the basic issues with Zara into two classifications: 1. Obsolete Technological Infrastructure The most concerning issue inside Zara is that they need fitting mechanical frameworks that guide in the dynamic procedure. I totally can't help contradicting Sanchez’s contention that Zara doesn't have to fix something, for this situation its POS framework, on the off chance that it isn't broken. He likewise contends that overhauling the POS frameworks would make it increasingly confused. In my investigation, Sanchez’s contention falls flat since he sees Zara’s current similar favorable position in different market sections as a changeless thing instead of something that is continually evolving. Furthermore, by selecting straightforwardness, Zara is giving up productivity and adequacy. At last, the nonattendance of the appropriate framework that can gather, break down and decipher information to help Zara’s plugs, store item supervisors and senior supervisors to settle on quality choices, makes Zara defenseless against fall behind its rivals. The following are the couple of models, where Zara’s absence of cutting edge mechanical framework harms them and potential arrangements. To begin with, Zara’s obsolete mechanical foundation is hindering its speed and dynamic capacity all through the association. Zara is an organization that relies intensely upon benefiting from new style inclines instead of on costly publicizing effort. Hence, it is basic for Zara to accurately distinguish new market slants and execute producing orders before its rivals. In any case, it is impossible that advertisements at Zara will have the option to reliably anticipate the new style choice without investigating significant information to determine data and business choices. They may figure the new style plans effectively barely any occasions, kindness of their experience, however when all is said in done their forecast will miss the objective as a general rule. In this way, except if Zara refreshes its antiquated framework that can productively gather information, assist directors with creating examples and better comprehend the market, they will be constrained out of the market. Second, Zara’s capacity to figure and break down its presentation under different market circumstances is impaired by its old foundation. Most organizations that are fruitful consider and break down all the potential situations that can influence them before settling on basic choices. Generally called occasion driven investigation or just, imagine a scenario where examination; it gives a business a feeling of all the potential chances and dangers out there in the market. Nonetheless, a business for the most part requires a lot of information that they have to investigate so as to lead an effective imagine a scenario in which examination. In Zara’s case, they come up short on that information assembling and sharing capacity on account of their old foundation. So for instance, Zara does not understand how their income will be affected if Benetton opens up a hundred new stores in Madrid. This is not kidding issue for Zara in light of the fact that it might be losing piece of the overall industry yet they have no precise method of checking it. Besides, Zara’s reliance on MS-DOS based POS framework is undermining its feasibility as a business at a store level and constraining its extension openings. For the most part on the grounds that Microsoft has suspended its help for MS DOS and Zara’s providers aren’t willing to a drawn out agreement that ensures future supplies of MS DOS based POS, Zara is in a powerless position. Additionally, the circumstance inside a Zara store, in wording information assortment and sharing, is hazardously low. For instance, a Zara senior supervisor right now can't get to basic business data vital for dynamic. Indeed, even data on straightforward things, for example, the marketing projection, the example of deals, and the quantity of unsold things are inaccessible to the senior supervisor. Or maybe a Zara head supervisor right now needs to depend on peddling the store to decide create business insight. Also on the equipment side, a Zara senior supervisors over dependence on an obsolete handheld PC is putting the planned income of the Zara’s business at gigantic hazard. As of now, a Zara head supervisor utilizes a hand-held PC with a little screen, presumably with poor picture quality, to break down data about the new garments structures and afterward choose. In a creative industry as design where individuals care about even littlest of little subtleties, the senior supervisors are approached to esteem and to choose their arrangement of new garments utilizing a gadget that is deficient. Moreover, the head supervisors need to depend on a dial up association, which has a large group of issues much of the time, to interface up with the workplace at La Courna once consistently. With the head supervisors confronting â€Å"hard deadlines† to post their requests and they depending on a dial up association with send that significant request, the weight on the senior supervisors must be high. Potential Solutions: First, at a store level, Zara can browse Windows, Unix or Linux based POS to supplant the entirety of its obsolete MS-DOS based POS. In my examination, another POS dependent on Windows OS is the best answer for Zara’s current needs. In the first place, the ordinary OS updates gave by Microsoft wipe out Zara’s worry about its OS being obsolete. Zara can likewise use Microsoft’s assortment of all around tried programming bundles to help in the assortment, stockpiling, investigation and translation of business data. Moreover, with windows Live programming, for example, SkyDrive, individual Zara store can store all its imperative information in the cloud and offer it among ads and store item directors in various areas. Additionally, one advantage of utilizing Microsoft OS is that practically all large programming engineers use MS OS as their essential stage. This guarantees Zara won't be burdened because of contrariness of significant programming. While then again, permitting and keeping up charges for Windows can be costly. Likewise, the issue with security might be a major worry for Zara as it utilizes Microsoft OS which has a background marked by being powerless against hacking, infection contamination, etc. Second, Zara should move up to new POS terminals as opposed to reinventing the new OS to fit the old equipment. To begin with, there can be an issue if old equipment isn't good with the new OS regardless of re-composing and redoing the new OS. Besides, the old equipment may neglect to completely use the abilities of the new OS framework. All the more critically, it might be quicker for Zara to supplant all the POS than reqrite the program for the old equipment. In any case, the rules for the new POS framework ought to be that it ought to have the option to store and impart information to the focal office at La Courna and to the senior supervisor. At last, an android based over an iOS based tablet could be a sensible option in contrast to the present utilization of handheld PCs. Since android tablets are progressively perfect with the Windows OS, which was the OS of decision for Zara, I would suggest an android tablet. Likewise, android tablets give Zara senior supervisors the capacity to get to basic business data from the cloud and effectively speak with the focal office to put orders, assess new style structures, and send or get basic business data from La Courna. Additionally, these tablets are good with a large group of various spreadsheet and archive applications that a Zara stor

Article Review on General Moters Debacle Research Paper

Article Review on General Moters Debacle - Research Paper Example General Motors needed to get back to roughly 1.6 million vehicles so as to fix their switches which were causing unexpected shut down in vehicles while moving. The defective start switches are accounted for to be connected with hazardous driving circumstances which brought about 31 accidents and 13 casualties in America since 2004 (Young, 2014). As an ever increasing number of subtleties are uncovering about the issues distinguished in start switches it has become evident that the administration of General Motors acted incredibly untrustworthy. Then again investigators have additionally shown that the corporate administration of General Motors is altogether delayed in reacting to the customers’ wellbeing and security issues (Young, 2014). This really prompts the non-thought of business morals and ethics while overlooking the central needs of clients. For example, in the book ‘Business Essentials’ Ebert and Griffin have expressed that it is the prime obligation of organization to maintain the law and morals which fundamentally expects them to create quality items. Also, the administration must have the option to decidedly add to the general public (Ebert, 2014). Nonetheless, on the off chance that we see the job of General Motor’s the executives, at that point it is plainly mirrored that they didn't act morally which additionally bargaining the more noteworthy social concerns and corporate social obligations of the association. The CEO of General Motors, Mary Barra said that she came to think about the issue of start switches in January. On the opposite side Robert Lutz who is the worldwide item development’s Vice Chair denied to have any data about start switch issues as of not long ago (Young, 2014). At the point when CEO was asked about for what good reason she wasn’t educated about the start switch blames then she reacted that her being uninformed of the occurrence ought not be stunning for the examiners since General Motors has around 219,000 representatives (Muller, 2014). The association is engaged with exceptionally complex business activities

Im in Lusaka, baby, so why dont you blog me

I’m in Lusaka, baby, so why don’t you blog me I am writing this from an internet cafe just outside Lusaka, Zambia, and Sam is awesomely posting this for me. My group has been here for just under a day, and we are staying in a guesthouse near the capital for the next 5 days or so. We hope to meet with 3 students from the University of Zambia (UNZA) before we begin our trip to the community of Mwape, near the Nyimba province. The travel has been somewhat tiring but it is so exciting to be here finally that the bug bites and jet lag and humidity are minor concerns. Last night, I ate dinner at a fast food restaurant called Zamchick where my mango-pineapple juice cost more than my 3 piece chicken and small fries meal. Now were off to change our currency, try to contact the UNZA students, eat breakfast (bread, jam, and peanut butter), and go to the market to buy fabric for skirts/sarongs. I have not showered since leaving MIT about 3.5 days ago, so I should probably do that too. Hope all is well for you! Im not sure if Ill have regular internet access again, so until then

Managed Health Care Accountable Care Organizations (ACOs) - 3300 Words

Managed Health Care: Accountable Care Organizations (ACOs) (Term Paper Sample) Content: Accountable Care Organizations (ACOs)Students Name:Institution:Abstract:An ACO is a network of professional health care providers clinically and financially accountable for the entire care continuum a specific group of patients. Depending on the type arrangement, hospitals, providers, and health insurers may agree to share the fiduciary duty to care for patients. The organization undertakes to meet cost and quality standards in exchange for a fraction of the savings realized from providing a better quality of care. The primary focus of this paper is to provide an in-depth understanding of the ACOs infrastructure for quality improvement, and health care cost containment. However, in addition to identifying to healthcare providers contracts and payment procedures in ACOs, this paper also analyses the impacts of ACOs on Medicare and Medicaid programs. In the last sections, the paper examines the role of Patient Protection and Affordable Care Act policies in ACOs, and rec ommendations for improving quality and cost containment.Introduction:An Accountable Care Organization (ACO) is a model of health care delivery in which emphasis is given to the value of health care services rather than their volume. In the ACO framework, an organization willingly takes on the obligation of caring for a distinct population of patients (Houston McGinnis, 2016). The organization undertakes to meet cost and quality standards in exchange for a fraction of the savings realized from providing a better quality of care. ACOs are, thus, created to realize the Triple Aim of improved health services, lower costs of care and improved patient experience or satisfaction.The prime focus of this paper is to provide an in-depth understanding of the ACOs infrastructure for quality improvement, and health care cost containment. However, in addition to identifying to healthcare providers contracts and payment procedures in ACOs, this paper also analyses the impacts of ACOs on Medicare and Medicaid. In the last sections, the paper examines the role of Patient Protection and Affordable Care Act policies in ACOs, and recommendations for improving quality and cost containment.Managed Health Care Quality:Healthcare quality represents the total benefits and satisfaction that patients derive from a particular care delivery system. A high performing or quality-based healthcare system has such features as incentivized compensation, cost consciousness, team-based care, technology tools, decent care access and good leadership or management system (Elman Zaiken, 2016). Most accountable care organizations are champions of quality care because of their constant quality improvement measures.Renowned for the ACOs commitment to quality improvement is the Medicare Shared Savings Program. As noted in Koury et al. (2014) and Berwick (2011), the Medicare Shared Savings Program (MSSP) was created under the ambit of Affordable Care Act (Section 3022) as a key reform to the Medicare provision system and a new style of healthcare delivery. According to Damore (2015), this happened due to the realization that the care system fragmented and there was no clear locus of accountability for health care quality and costs for patient populations. Being a creation of the constitution, ACOs integrate MSSPs to "facilitate coordination and collaboration among providers to advance the quality of care for beneficiaries of Medicare fee-for-service (Damore, 2015).The program incentivizes ACOs that cut their growth in healthcare expense and meet quality performance benchmarks by rewarding them (Berwick, 2011).Coordination of care practices enables providers to help patients manage their health conditions by guiding and pointing them to appropriate health care settings available within the care continuum. Together, the care providers manage the delivery and totality of care services given to specific patient populations. The overall implication is that ACOs have the ability to s ingle out the care needs of people under its custody, track the care services received or not received by individuals in readiness for future constraints. A key strategy often employed by ACOs towards meeting this course is by making a substantial investment in health information technology (Tu, David, Lawrence, Ross, 2015). That is the use of health information exchanges, electronic medical records, and patient management software in ensuring efficient service delivery.Another strategy common with ACOs is the practice of holding healthcare professionals, nurses, doctors, providers, and physicians solely accountable for the life of the patients to whom they attend. Physicians have to ensure their clients are safe. Meaning, they are encouraged to cling to best practices in medicine and evidence-based clinical practice. Providers, on the other, hands are the payers of the defined patients medical fees suggesting that it is their responsibility to see that clients fees are paid on de mand.By shifting more accountability for medical outcomes to care-providers, ACOs have shown positive advancement towards improving the quality of care and reducing costs. Prior to the rise of managed health care system, clinicians used to practice with little consideration to cost. Providing services to patients were the ethical imperative. According to Muhlestein, Croshaw and Merrill (2013), the fee-for-service payment system, in fact, compensated physicians for delivering more care, since the more they delivered, the more pay they could collect. However, with the advent of accountable care organizations, clinicians are forced to contemplate the aspects of necessity and cost when delivering care. Obama (2016) argues that there exist a monotonic relationship between quality and cost healthcare. A reduction in cost reflects an equal drop in the quality of care. Working on a behavioral change has, thus, remained a key quality assurance strategy in most ACOs. Creating incentives is an effectual way to cultivate and drive behavioral change. Under the ACO framework, health care providers change behavior hinged on an acknowledgment that they are accountable for quality outcomes of an individual.Cost Containment:ACOs often strive to deliver quality healthcare services at lowers costs that are affordable to nearly all its beneficiaries by scrapping unnecessaryprocedures and reducing hospital admissions. They have an overarching system for coupling new forms of provider payments (episode-of-care and global payments), and other health care delivery system restructurings, like electronic medical records and medical homes (Berwick, 2011). The payers including Medicare, Medicaid and other private insurers, contracts directly with provider organizations without the assistance of a health plan intermediary like a managed care plan (CMS, 2015). In and of themselves, Accountable Care Organizations are not a cost repression stratagem. Rather, they are a medium for executing in clusive payment reforms and health care system reshape as a way of taking control over the persistently growing healthcare costs (Deloitte Consulting LLP, 2013) and deriving the maximum value of each dollar spent on healthcare.One of the ACOs cost containment strategies is by having a wide range of collaborative providers accountable to health care insurers for the total cost and quality of care outcomes for a defined population. The provider payments have gradually diminished the role of ancient systems fee-for-service recompense. Instead of consumers paying for the services directly from their pockets, a third party (payer) undertakes that role by settling all the resultant medical fees (). Consequently, patients do not feel the cost-effect of their conditions. Their only role, as participants, is to pay the regular premiums as per the plan.However, the above strategy may not work effectively without the cooperation of the primary care providers like physicians, doctors, and nurse s. As a result, ACOs often emphasize patient engagement as another cost containment approach. There is adequate evidence suggesting that centering on patient engagement can actively minimize service rates and improve overall patient health and safety. Healthcare providers make a lot of money from insurance companies and Medicare programs by keeping their patients healthy. A report published by theBrookings Institute (2014) shows that patient engagement is key to improving patients health and reducing associated health care costs. From the report, it was found that families and patients who are actively integrated, involved and engaged in decisions relating to their health stand a better chance of adopting healthy behaviors and management techniques for chronic conditions. Therefore, by making patient engagement a key care component and an operating strategy, ACOs spin an outstanding cost-containment tool.Far from patient engagement focus, most ACOs outsource services, especially, th ose which they can hardly provide due to inflated costs associated with them. For ACOs, outsourcing includes reaching agreements with other members of theACOsand bringing particular services, like imaging, into the primary care exercise to contain costs and improve convenience for defined patient populations (Feldman, 2015). There are also organizations that manage all the administrative ofACOs. Most of such organizations are authorized and funded by the government.The more services an ACO have at its disposal, the more containment it may have over related costs and guaranteeing that the services are being...

Relationship Between Friendship And Mutual Interests,...

Friendship is a special type of relationship and plays an important role in people’s daily life. Friendships satisfy people’s need to belong (Mattingly, Oswald, Clark, 2011). The definitions of friendship vary in different situations. For example, in business, friends are trading partners; while in politics, friends are considered to be the supporters for certain politicians as well as political alliances (Hruschka, 2010, p.4). The friendship that I will discuss in this paper is more like companionship and is based on mutual interests, aids, and benefits. Friendships usually involve reciprocity altruism for closed friends. It is argued that friendships may have an evolutionary benefit to regulate kin-based altruism to people who are not our closely kin (Hruschka, 2010, p.6). People can get a lot of benefits from healthy friendships, such as experiencing increase in happiness and well-being. Interracial friendships provide additional benefits to people in a way that it reduce the intergroup bias as well as discrimination. The belief of one sharing the same subjective experience as the other person plays a role in attraction, liking, and relationships (Pinel, Long, Landau, Alexander, Pyszczynski, 2006). Taking my friendship with Beth as an example, the first time we met in school cafeteria, we perceived that each other would love to talk and that was how we started our first conversation. As our friendship proceeds, I gradually get the feeling that Beth is a partShow MoreRelatedThere Are Several Similarities Between Aristotle And Confucius1499 Words   |  6 Pagessimilarities between Aristotle and Confucius on the concept of friendship.   Both viewed friendship as a relationship between virtuous and trustworthy friends who understand each other s character.   According to Aristotle and Confucius, virtue is essential when friends   are able to share their lives with one another during the time of fortune and misfortunes.   For this leads them to live happily, joyfully, and harmoniously as f riends. Aristotle posited that, â€Å"The perfect form of friendship is that betweenRead MoreSimilarities Between Confucius And Confucius1391 Words   |  6 Pagesthe Concept of Friendship according to Aristotle and Confucius. Confucius and Aristotle both examined the concept of friendship. 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