Please post a discussion regarding the following. Use your source in APA FORMAT IT IS IMPORTANT

Discuss the interrelationships between healthcare costs, quality, and access from the Roemer model of health services systems. Make suggestions on how one would maximize access and quality while keeping costs low. Now, analyze why these suggestions have not been put into place.

Reference examples in APA 7th edition format!
Book Example:

Gordon, K. E. (2013). The deluxe transitive vampire: The ultimate handbook of grammar for the innocent, the eager, and the doomed. Pantheon Books.

Journal Example:

Jacobson, J. W., Mulick, J. A., & Schwartz, A. A. (2014). A history of facilitated
communication: Science, pseudoscience, and antiscience: Science working group on facilitated communication. American Psychologist, 50(2), 750-765.

Website Example:

Lawton. K. A., Cousineau, L., & Hillard, V.E. (2011). Plagiarism: Its nature and consequences.
88 unread replies.88 replies.
For this activity, you will deliver a 3-minute audio response with a script for APA citations.
Choose a small business or local organization with which you interact on a regular basis.
This organization can be your place of employment, local supermarket, church, school, or any other type of retailer.
Noticeable organizations, such as public corporations, will not be considered for this activity.
In your response, address the following:
Discuss at least three elements of the American economy that will affect this organization in the future.
Use the textbook to substantiate your response.
Instructions to post your main response:
Write a script for your response using APA for citations.
After choosing the Reply button, use the Canvas “Record/Upload Video” tool to deliver a 3-minute audio response. You can also choose any other multimedia to record your responses.
Review the How to Post a Recording to Canvas Instructions, located in Course Resources. File name: MGMT501_Weeks 1-8_How to Post a Recording to Canvas Instructions

Attach 1-page Word document with your script into the Discussion Forum.
Every week, post your main discussion by Wednesday.
and post a substantive comment to each that aligns with the concepts discussed:
According to is everywhere. By disrupting the way people shop, Amazon has created economic ripple effects that go far beyond the customers wallet. Amazon, directly and indirectly, impacts inflation, jobs, and investment. According to eMarketer, Amazon accounted for about 4% of U.S. retail sales and 37.7% of U.S. ecommerce sales in 2019.1 If you consider the macro picture, consumers spending more is a good sign because it contributes to the GDP. That being said, consumer spending on Amazon is not significant enough to tip the GDP scale. However, it could be in the future.
Some economy watchers are nervous about Amazons deflationary impact. Ideally, low unemployment is accompanied by wage growth, which in turn fuels inflation as companies pass on the costs to consumers. Amazon also engages a number of third-party contractors and companies for tasks like deliveries. Those people go door-to-door, dropping off Amazon packages. However, they are not employees of the company. Does that matter? Yes and no.
In a way, these are jobs for people. Therefore, some credit could go to Amazon for job creation. On the other hand, hiring contractual workers helps the company keep its costs in check. Some have criticized the company for harsh working conditions.


Discussion Response Week 1_Tiera Gray:
According to Advanced Energy Economy the business model of electric utilities is in a state of transformation due to rapidly proliferating changes, including demands for improved environmental performance to address climate change, the expansion of distributed energy resources, a growing need for resiliency, and new expectations for customer choice. In addition, urbanization and mass movement of people to cities will increase to 68% by 2050 according to the United Nations article published July 2018. The world is now 54% urbanized versus 29% in 1950 and 39% in 1980. Urbanization will substantially affect the distribution of global energy demand.
Collectively these shifts will require the traditional utilities business model to evolve and expand. The traditional utilities business model was not set up to perform against modern service requirements instead it was focused on affordability, safety, and reliability. To evolve the utilities business model the focus must be on environmental performance, resilience, expanded customer choice and innovation. Three strategic imperatives for the utilities business model to transform: First, focus on the Customer to deliver customer solutions via more flexible and creative products with lower customer effort. Second, levering a technology platform to connect and educate customers with new utility partners enabling customer choice. Third, modernize for reliability and enhanced resiliency creating a smarter grid that can self-heal and minimize disruptions while withstanding extreme weather events.
Regulatory limitations will impact the progression towards modern services and strategic imperatives due to outdated state and federal policies that are suited for traditional and less innovative technologies. According to Advanced Energy Economy differing levels of information between regulators/stakeholders and utilities make determinations of prudence imprecise. Yet the rate of change in advances in technology continues to grow including non-utility companies moving into the utility business with access to customer data driven by technology (e.g. smart devices/appliances).
References: Advanced Energy Economy and United Nations article published July 2018