Analyze financial models of reimbursement and their effects on patients and health care providers.

Course Code MN507M2
Competency Title Financial Models and Reimbursement
Outcome MN507-2: Analyze financial models of reimbursement and their effects on patients and health care providers.
COMPETENCY ASSIGNMENT

This Competency Assignment assesses the following outcome(s):

MN507-2: Explore financial models of reimbursement and their effects on patients and health care providers.

DIRECTIONS

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

****Break these down into (5) topics and discuss****

1. Provide a brief history of both Medicare and Medicaid.
2. Define the populations that they (Medicare and Medicaid) are intended to serve.
3. Determine whether your state(MARYLAND) has expanded Medicaid.
4. Articulate the reasons that states choose not to participate in Medicaid expansion.
5. Analyze your role(My role as a Family Nurse Practitioner) in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients.

The word count for your paper, excluding the title page and references page, will be 4 pages. You must include a minimum of (5) different scholarly references.

Assignment Requirements

Before finalizing your work, you should:
• be sure to read the Assignment description carefully (as displayed above);
• Consult the Grading Rubric (Below) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:
• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.

MN507M2 Competency Assessment Rubric

If work submitted for this Competency Assessment does not meet the minimum submission requirements, it will be returned without being scored.

CRITERIA MET NOT MET
History of Medicare and Medicaid
[History of Medicare and Medicaid are discussed, including the initial need that was identified for both programs.]
Identification of Populations Served by Medicare and Medicaid
[Populations served by Medicare and Medicaid are described, specifying which specific populations are applicable to both.]
Status of Medicaid Expansion in Student’s Own State (Maryland)
[Status of Medicaid expansion in student’s own state is discussed, including any relevant background information for this status.]
Reasons That States Choose Not to Expand Medicaid
[Reasons that states choose not to expand Medicaid are discussed, including potential financial implications to states.]
Role of the Nurse When Interfacing With Medicare and Medicaid Patients
[Role of the nurse when interfacing with Medicare and Medicaid patients specific to the student’s specialty track is discussed.]
Overall # Bold Criteria Met/Not Met
[Overall # Mastery Criteria Met/Not Met]