Paper – Medicaid

Please review details carefully!! This is final project and needs to be perfect with no mistakes. Answer every question in detail listed below, meets the rubric requirements and it is imperative citations are correct. Thank you

Option #2: Medicaid Managed Care – Essay

Review the Kohatsu, Payne, and Subramania article, “The Few Winner from Medicaid’s Shift to Managed Care (Links to an external site.)Links to an external site..”

Using data provided by the Kaiser Family Foundation Medicaid Managed Care Market Tracker (Links to an external site.)Links to an external site., please identify three states that have not transitioned their Medicaid programs to the managed care model and three states that have shifted their Medicaid program to managed care.

Then complete the following for your essay:

  • Research the three states that have not shifted their Medicaid programs to the managed care model and discuss the reasons why each of these states has not transitioned. Explain if you agree or disagree with the rational of each state’s decision.
  • Research the three states that have shifted their Medicaid programs to the managed care model and discuss their successes and challenges.
  • Should the CMS mandate Medicaid managed care programs for every state? What are some of the pros and cons and arguments from the perspectives of states, the CMS, and the Medicaid beneficiaries?

Your assignment should meet the following requirements:

Rubric Requirement

HCM400 Mod 8 PP

HCM400 Mod 8 PP

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Requirements

20.0 to >16.0 pts

Meets Expectation

The Portfolio includes all of the required components, as specified in the assignment.

16.0 to >12.0 pts

Approaches Expectation

The Portfolio includes most of the required components, as specified in the assignment.

12.0 to >8.0 pts

Below Expectation

The Portfolio includes some of the required components, as specified in the assignment.

8.0 to >0 pts

Limited Evidence

The Portfolio includes few of the required components, as specified in the assignment.

20.0 pts

This criterion is linked to a Learning Outcome Content

40.0 to >32.0 pts

Meets Expectation

Demonstrates strong or adequate knowledge of managed care as outlined in the option selection; correctly represents knowledge from the interview (if applicable), readings, and sources.

32.0 to >24.0 pts

Approaches Expectation

Some significant but not major errors or omissions in demonstration of knowledge.

24.0 to >16.0 pts

Below Expectation

Major errors or omissions in demonstration of knowledge.

16.0 to >0 pts

Limited Evidence

Fails to demonstrate knowledge of the materials.

40.0 pts

This criterion is linked to a Learning Outcome Critical Analysis – 1

50.0 to >40.0 pts

Meets Expectation

Demonstrates strong or adequate critical analysis of either the interviewee’s responses to questions regarding industry regulations, or of the research that explains why the three identified states *have not* shifted their Medicaid programs.

40.0 to >30.0 pts

Approaches Expectation

Some significant but not major errors or omissions in critical analysis.

30.0 to >20.0 pts

Below Expectation

Major errors or omissions in critical analysis.

20.0 to >0 pts

Limited Evidence

Fails to demonstrate critical analysis.

50.0 pts

This criterion is linked to a Learning Outcome Critical Analysis – 2

50.0 to >40.0 pts

Meets Expectation

Demonstrates strong or adequate critical analysis of either the interviewee’s responses to questions regarding industry challenges and the organization’s attitude toward managed care, or of the research that explains the successes and challenges of the three identified states that *have* switched to Medicaid.

40.0 to >30.0 pts

Approaches Expectation

Some significant but not major errors or omissions in critical analysis.

30.0 to >20.0 pts

Below Expectation

Major errors or omissions in critical analysis.

20.0 to >0 pts

Limited Evidence

Fails to demonstrate critical analysis.

50.0 pts

This criterion is linked to a Learning Outcome Synthesis and Evaluation

60.0 to >48.0 pts

Meets Expectation

Demonstrates strong or adequate synthesis and evaluation of either the interviewee’s response to the ACA and the future of the healthcare industry, including organizational governance; or of the future of Medicaid managed care programs and the pros and cons regarding implementing it nationally.

48.0 to >36.0 pts

Approaches Expectation

Some significant but not major errors or omissions in synthesis and evaluation.

36.0 to >24.0 pts

Below Expectation

Major errors or omissions in synthesis and evaluation.

24.0 to >0 pts

Limited Evidence

Fails to demonstrate synthesis and evaluation.

60.0 pts

This criterion is linked to a Learning Outcome Sources

10.0 to >8.0 pts

Meets Expectation

Cites and integrates at least 4 current, scholarly sources in addition to the textbook.

8.0 to >6.0 pts

Approaches Expectation

Cites and integrates 3 current, scholarly sources in addition to the textbook.

6.0 to >4.0 pts

Below Expectation

Cites and integrates 2 current, scholarly sources in addition to the textbook.

4.0 to >0 pts

Limited Evidence

Cites and integrates 1 current, scholarly source in addition to the textbook.

10.0 pts

This criterion is linked to a Learning Outcome Application of Source Material

10.0 to >8.0 pts

Meets Expectation

Sources well or adequately chosen to provide substance and perspectives on the issue; knowledge from the course linked properly to source material.

8.0 to >6.0 pts

Approaches Expectation

Some significant but not major problems with selection and linkage of sources.

6.0 to >4.0 pts

Below Expectation

Major problems with selection and linkage of sources.

4.0 to >0 pts

Limited Evidence

Source selection is seriously flawed; no linkage to knowledge from the course.

10.0 pts

This criterion is linked to a Learning Outcome Organization

20.0 to >16.0 pts

Meets Expectation

Project is clearly organized, well written, and in proper essay format including an introduction, body, and conclusion. Conforms to project requirements.

16.0 to >12.0 pts

Approaches Expectation

Small number of significant but not major flaws in organization and writing; is in proper essay format. In a minor way does not conform to project requirements.

12.0 to >8.0 pts

Below Expectation

Major problems in organization and writing; does not completely follow proper essay format. In a significant way does not conform to project requirements.

8.0 to >0 pts

Limited Evidence

Project is not well organized or well written and is not in proper essay format. Does not conform to project requirements.

20.0 pts

This criterion is linked to a Learning Outcome Grammar and Style

20.0 to >16.0 pts

Meets Expectation

Strong sentence and paragraph structure; few or no minor errors in grammar and spelling; appropriate writing style; clear and concise with no unsupported comments.

16.0 to >12.0 pts

Approaches Expectation

Small number of significant but not major errors in grammar and spelling; generally appropriate writing.

12.0 to >8.0 pts

Below Expectation

Inconsistent to inadequate sentence and paragraph development; work needed on grammar and spelling; does not meet program expectations.

8.0 to >0 pts

Limited Evidence

Poor quality; unacceptable in terms of grammar and/or spelling; inappropriate writing style that interferes with clarity.

20.0 pts

This criterion is linked to a Learning Outcome Demonstrates proper use of APA style

20.0 to >16.0 pts

Meets Expectation

Project contains proper APA formatting, according to the *CSU-Global Guide to Writing and APA Requirements*, with no more than one significant error.

16.0 to >12.0 pts

Approaches Expectation

Few errors in APA formatting, according to the *CSU-Global Guide to Writing and APA Requirements*, with no more than two to three significant errors.

12.0 to >8.0 pts

Below Expectation

Significant errors in APA formatting, according to the *CSU-Global Guide to Writing and APA Requirements*, with four to five significant errors.

8.0 to >0 pts

Limited Evidence

Numerous errors in APA formatting, according to the *CSU-Global Guide to Writing and APA Requirements*, with more than five significant errors.

20.0 pts

Total Points: 300.0

 

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