Executive Solution Overview
## **Overview** In this assignment, you consider a scenario in which you are asked to compare U.S. government and private sector health care financing models. ## **Scenario** The hospital board of directors has made a request for you to provide and present a report to them on government and private …
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## **Overview**
In this assignment, you consider a scenario in which you are asked to compare U.S. government and private sector health care financing models.
## **Scenario**
The hospital board of directors has made a request for you to provide and present a report to them on government and private sector healthcare financing models. As part of the report, the board of directors has asked you to also provide an overview of the types of Medicare policies and provider incentives for pay for performance. As part of the report, you have been tasked with completing two parts of the report.
Your report should include the following information:
– A table that compares a government and private sector healthcare model.
– A 300-word summary on the types of Medicare policies (e.g. scope of the program, insurance premiums, managed care and competition, and provider payments) and provider incentives for pay for performance.
## **Instructions**
Consider the scenario and complete both parts of this assignment using the [Week 8 Assignment Template [DOCX]](https://canvas.strayer.edu/courses/25708/files/16229979?wrap=1 "cf_Week_8_Assignment_Template.docx") [Download Week 8 Assignment Template [DOCX]](https://canvas.strayer.edu/courses/25708/files/16229979/download?download_frd=1) for comparison of the government and private sector health care financing models. Complete the template using your own words and write a 300-word summary on the types of Medicare policies and provider incentives for pay for performance below the table. Three creditable sources are required for the assignment
### **Part 1: Comparing Health Care Models**
In Part 1 of this assignment, you will compare the **cost, access, reimbursement, and quality** of government and private sector models. Choose one government and one private sector model from the list below and begin your research.
– **Government**
– Medicare.
– Medicaid.
– Veteran’s Administration.
– **Private Sector**
– Employer Provided Insurance.
– HMO.
– PPO.
One of the characteristics that you will consider—quality—should be assessed using the Centers for Medicare and Medicaid Services (CMS) Quality measures. Optional resources to aid your assessment can be found at:
– [National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures ReportsLinks to an external site.](https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/National-Impact-Assessment-of-the-Centers-for-Medicare-and-Medicaid-Services-CMS-Quality-Measures-Reports).
– [Quality Measures: How They Are Developed, Used & MaintainedLinks to an external site.](https://mmshub.cms.gov/sites/default/files/Guide-Quality-Measures-How-They-Are-Developed-Used-Maintained.pdf)
– [HEDIS Measures and Technical ResourcesLinks to an external site.](https://www.ncqa.org/hedis/measures/).
### **Part 2: Summary of Medicare Policies and Provider Incentives for Pay for Performance**
In Part 2 of this assignment, you will write a 300-word summary on the types of Medicare policies (e.g. scope of the program, insurance premiums, managed care and competition, and provider payments) and provider incentives for pay for performance.
## **Additional Requirements**
– Use at least three sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment.
– This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the [Library site](https://library.strayer.edu/sws) for all support. Check with your professor for any additional instructions.
The specific course learning outcome associated with this assignment is:
– Assess current U.S. health care financing and funding models, including policy, regulations, and national trends.
Week 8 Assignment – Health Care Models **Week 8 Assignment – Health Care ModelsCriteriaRatingsPts** Compare U.S. government and private sector financing models to accurately portray similarities and differences in all specified areas. **54 to >48.59 ptsExemplary** Compared U.S. government and private sector financing models to accurately portray similarities and differences in all specified areas. **48.59 to >43.19 ptsCompetent** Compared U.S. government and private sector financing models to accurately portray similarities and difference, but missed key details. **43.19 to >37.79 ptsNeeds Improvement** Comparison provided basic information, but did not include specific detail or depth regarding the similarities and differences in all specified areas. **37.79 to >0 ptsUnacceptable** Did not compare U.S. government and private sector financing models./ 54 ptsSummarize the types of Medicare policies (e.g. scope of the program, insurance premiums, managed care and competition, and provider payments) and provider incentives for pay for performance **48 to >43.2 ptsExemplary** Summarized the types of Medicare policies (e.g. scope of the program, insurance premiums, managed care and competition, and provider payments) and provider incentives for pay for performance. **43.2 to >38.4 ptsCompetent** Summarized the types of Medicare policies and provider incentives for pay for performance, but summary lacked detail. **38.4 to >33.6 ptsNeeds Improvement** Summarized the types of Medicare policies or summarized provider incentives for pay for performance, but did not summarize both. Summary lacked detail. **33.6 to >0 ptsUnacceptable** Did not summarize the types of Medicare policies or provider incentives for pay for performance./ 48 ptsUse at least three sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. **6 to >5.4 ptsExemplary** Cited at least three credible, relevant, and appropriate sources; each source was cited within the assignment. **5.4 to >4.8 ptsCompetent** Cited required number of sources but not all sources were credible, relevant, or appropriate; or sources were not cited within the assignment. **4.8 to >4.2 ptsNeeds Improvement** Did not cite the required number of sources or cited required number of sources but sources were not credible, relevant, or appropriate. **4.2 to >0 ptsUnacceptable** Did not cite any sources./ 6 ptsProduce writing that contains accurate grammar, mechanics, and spelling in accordance with SWS style. **12 to >10.8 ptsExemplary** Produced writing that is clear and well organized and applies appropriate SWS style. Writing contains accurate grammar, mechanics, and spelling with 0–2 errors. **10.8 to >9.6 ptsCompetent** Produced writing that attempts to be clear and well organized and to apply appropriate SWS style. Writing contains some errors in grammar, mechanics, and spelling. There may be occasional errors (1–2), but they do not impact the ability of the reader to understand the writing. **9.6 to >8.4 ptsNeeds Improvement** Produced writing that has noticeable issues with clarity, organization, and the application of SWS style. Writing contains some errors in grammar, mechanics, and spelling. There are multiple errors (3–4) that distract from the reader's ability to understand the writing. **8.4 to >0 ptsUnacceptable** Produced writing that lacks clarity, organization, or does not apply SWS style. There are significant issues with grammar, mechanics, and spelling. Overall, errors are significant in number (5 or more), and the reader will have difficulty understanding the writing./ 12 ptsTotal Points: 0