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Paper Instructions:

First, discuss three major trends affecting delivery of care: 1) increasing numbers of individuals enrolled in managed care plans, 2) increasing number of individuals with chronic health issues, 3) a shift from focusing on the cost of care to the value and evidence based systems that provide effectiveness and positive outcomes.  DO NOT submit any assignments or parts of the assignments previously submitted. In a two page, double spaced, essay explain your findings. Conduct your own research by seeking journal articles, reviewing the US Department of Health and Human Services www.hhs.gov information, CMS website www.cms.gov , and Agency for Healthcare Research and Quality at www.ahrq.gov