Managed Care Reimbursement Methods Discussion
\nManaged Care Reimbursement Methods Discussion<\/p>\n
Unit 4 Assignment \u2013 Managed Care Reimbursement Methods<\/p>\n
Submit Assignment<\/p>\n
Due Aug 4 by 11:59pm
\nPoints 100
\nSubmitting a text entry box, a website url, a media recording, or a file upload
\nORDER NOW FOR CUSTOMIZED SOLUTION PAPERS<\/p>\n
Managed care is a system of health care delivery that aims to provide a generalized structure and focus when managing the use, access, cost, quality, and effectiveness of health care services. There are various ways in which the managed care organization reimburses hospitals for their services. Examples of Managed Care Reimbursement Methods include the following:<\/p>\n
Percent-of-charge payment
\nPer diem payment
\nCase rate payment (DRGs and MS-DRGs)
\nAmbulatory Patient Grouper (APG)
\nAmbulatory Payment Classification (APCs)
\nOther types of reimbursement (carve-out, stop-loss, and withhold pools)
\nInstructions<\/p>\n
Create a Venn Diagram (with a minimum of 4 points) to compare and contrast two of the Managed Care Reimbursement methods listed above.
\nReview the video \u201cHow to Create a Venn Diagram in Word and PowerPoint\u201d in Supplemental Resources prior to completing this part of the assessment.
\nSummarize your findings in a one-page paper. In your summary, explain how each method is different and provide an example of when it is appropriate for an organization to use each method.
\nSubmit both parts of this assessment in the same document.
\nRubric<\/p>\n
Unit 4 Assignment \u2013 Managed Care Reimbursement Methods<\/p>\n
Unit 4 Assignment \u2013 Managed Care Reimbursement Methods
\nCriteria\tRatings\tPts
\nThis criterion is linked to a Learning OutcomeTopic
\n10.0 ptsLevel 5
\nIdentifies a creative, focused, and manageable topic (sample nursing essay examples by the best nursing assignment writing service) clearly addressing important points.<\/p>\n
9.0 ptsLevel 4
\nIdentifies a manageable topic (sample nursing essay examples by the best nursing assignment writing service) that addresses important points.<\/p>\n
8.0 ptsLevel 3
\nIdentifies a focused topic (sample nursing essay examples by the best nursing assignment writing service) that addresses important points.<\/p>\n
7.0 ptsLevel 2
\nIdentifies a topic (sample nursing essay examples by the best nursing assignment writing service) that while doable, is too narrowly focused.<\/p>\n
6.0 ptsLevel 1
\nIdentifies a topic (sample nursing essay examples by the best nursing assignment writing service) that is far too general and wide-ranging as to be doable.<\/p>\n
0.0 ptsLevel 0
\nDoes not clearly identify a topic (sample nursing essay examples by the best nursing assignment writing service) or identifies a topic (sample nursing essay examples by the best nursing assignment writing service) that is not relevant to the assignment.<\/p>\n
10.0 pts
\nThis criterion is linked to a Learning OutcomeExisting Knowledge, Research, and\/or Views
\n15.0 ptsLevel 5
\nUses in-depth information from relevant sources representing multiple points of views (3 or more) or research aspects (3 or more).<\/p>\n
13.5 ptsLevel 4
\nDescribes in-depth information from relevant sources representing at least two points of view or research aspects.<\/p>\n
12.0 ptsLevel 3
\nExplains information from relevant sources representing at least two points of view or research aspects.<\/p>\n
10.5 ptsLevel 2
\nRelates information from relevant and irrelevant sources. No clear point of view(s) of approach(es) are identified.<\/p>\n
9.0 ptsLevel 1
\nTells information from irrelevant sources representing a single point of view or does not identify points of view or approaches.<\/p>\n
0.0 ptsLevel 0
\nInformation is irrelevant to the topic (sample nursing essay examples by the best nursing assignment writing service). No clear point of view\/approaches.<\/p>\n
15.0 pts
\nThis criterion is linked to a Learning OutcomeContent
\n15.0 ptsLevel 5
\nDemonstrates the ability to construct a clear and insightful problem statement\/thesis statement\/topic (sample nursing essay examples by the best nursing assignment writing service) statement with evidence of all relevant contextual factors.<\/p>\n
13.5 ptsLevel 4
\nDemonstrates the ability to construct a problem statement, thesis statement\/topic (sample nursing essay examples by the best nursing assignment writing service) statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.<\/p>\n
12.0 ptsLevel 3
\nBegins to demonstrate the ability to construct a problem statement\/thesis statement\/topic (sample nursing essay examples by the best nursing assignment writing service) statement with evidence of most relevant contextual factors, but problem statement is superficial.<\/p>\n
10.5 ptsLevel 2
\nDemonstrates a limited ability in identifying a problem statement\/thesis statement\/topic (sample nursing essay examples by the best nursing assignment writing service) statement or related contextual factors.<\/p>\n
9.0 ptsLevel 1
\nDemonstrates the ability to explain contextual factors but does not provide a defined statement.<\/p>\n
0.0 ptsLevel 0
\nThere is no evidence of a defined statement.<\/p>\n
15.0 pts
\nThis criterion is linked to a Learning OutcomeAnalysisPRICE-P
\n15.0 ptsLevel 5
\nOrganizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.<\/p>\n
13.5 ptsLevel 4
\nOrganizes and interprets evidence to reveal patterns, differences, or similarities related to focus.<\/p>\n
12.0 ptsLevel 3
\nOrganizes and describes evidence according to patterns, differences, or similarities related to focus.<\/p>\n
10.5 ptsLevel 2
\nOrganizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.<\/p>\n
9.0 ptsLevel 1
\nDescribes evidence, but it is not organized and\/or is unrelated to focus.<\/p>\n
0.0 ptsLevel 0
\nLists evidence, but it is not organized and\/or is unrelated to focus.<\/p>\n
15.0 pts
\nThis criterion is linked to a Learning OutcomeConclusion
\n20.0 ptsLevel 5
\nAssembles a conclusion that is a logical interpretation from findings.<\/p>\n
18.0 ptsLevel 4
\nConstructs a conclusion that is logical from inquiry findings.<\/p>\n
16.0 ptsLevel 3
\nIdentifies a conclusion specifically from and responds specifically to the findings.<\/p>\n
14.0 ptsLevel 2
\nProduces a general conclusion that, because it is so general, also applies beyond the scope of the inquiry findings.<\/p>\n
12.0 ptsLevel 1
\nStates an ambiguous or unsupportable conclusion from findings.<\/p>\n
0.0 ptsLevel 0
\nStates an illogical conclusion from findings.<\/p>\n
20.0 pts
\nThis criterion is linked to a Learning OutcomeLimitations and Implications
\n15.0 ptsLevel 5
\nInsightfully discusses in detail relevant and supported limitations and implications.<\/p>\n
13.5 ptsLevel 4
\nExamines relevant and supported limitations and implications.<\/p>\n
12.0 ptsLevel 3
\nDiscusses relevant and supported limitations and implications.<\/p>\n
10.5 ptsLevel 2
\nPresents relevant and supported limitations and implications.<\/p>\n
9.0 ptsLevel 1
\nPresents limitations and implications, but they are unsupported.<\/p>\n
0.0 ptsLevel 0
\nPresents limitations and implications, but they are irrelevant.<\/p>\n
15.0 pts
\nThis criterion is linked to a Learning OutcomeWriting
\n5.0 ptsLevel 5
\nThe paper exhibits an excellent command of written English languageconventions. The paper has no errors in mechanics, grammar, or spelling.<\/p>\n
4.5 ptsLevel 4
\nThe paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling with minor grammatical errors that impair the flow of communication.<\/p>\n
4.0 ptsLevel 3
\nThe paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.<\/p>\n
3.5 ptsLevel 2
\nThe paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.<\/p>\n
3.0 ptsLevel 1
\nThe paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.<\/p>\n
0.0 ptsLevel 0
\nThe paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.<\/p>\n
5.0 pts
\nThis criterion is linked to a Learning OutcomeAPAPRICE-I
\n5.0 ptsLevel 5
\nThe required APA elements are all included with correct formatting, including in-text citations and references.<\/p>\n
4.5 ptsLevel 4
\nThe required APA elements are all included with minor formatting errors, including in-text citations and references.<\/p>\n
4.0 ptsLevel 3
\nThe required APA elements are all included with multiple formatting errors, including in-text citations and references.<\/p>\n
3.5 ptsLevel 2
\nThe required APA elements are not all included and\/or there are major formatting errors, including in-text citations and references.<\/p>\n
3.0 ptsLevel 1
\nSeveral APA elements are missing. The errors in formatting demonstrate limited understanding of APA guidelines, in-text-citations, and references.<\/p>\n
0.0 ptsLevel 0
\nThere is little to no evidence of APA formatting and\/or there are no in-text citations and\/or references.<\/p>\n
5.0 pts
\nTotal Points: 100.0
\nManaged Care Reimbursement Methods Discussion<\/p>\n","protected":false},"excerpt":{"rendered":"
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