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

For this assessment, you will distinguish between Managed Care Organizations (MCO) and Accountable Care Organizations (ACO). Your paper will include the following:

Provide a brief history of both the MCO and ACO.

Define the populations MCO and ACO are intended to serve.

Analyze your role in your specialized area of nursing practice when interfacing with an MCO and ACO clients/patients.

The word count for your paper, excluding the title and the references page, will be 800 words.

Assessment Requirements

Before finalizing your work, you should:

-be sure to read the assessment description carefully (as displayed above);

-consult the Assessment Rubric to make sure you have included everything necessary; and utilize spelling and grammar check to minimize errors.

-This assessment should be a Microsoft Word (minimum 800 words) document, in addition to the title and reference pages.

-Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.

-Your submission should provide a clearly established and sustained viewpoint and purpose.

-A separate page at the end of your submission should contain a list of references in APA format.

-Be sure to include references for all sources and to cite them using in-text citations where appropriate

Competency Assessment Rubric

 All competency criteria must be met to earn a B grade and pass this Course Outcome.

A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.

	MET	NOT YET MET
History of Managed Care Organizations (MCO) and Accountable Care Organizations (ACO)
Competency
●     Describes a brief history of MCO and ACO
Mastery
●     Writes a brief history of MCO and ACO including the initial need for both programs.
Identification of Populations Served by MCO and ACO
Competency
●     Generalizes populations served by MCO and ACO
Mastery
●     Produces specific examples of populations served by MCO and ACO
Role of nurse when interfacing with MCO and ACO
Competency
●     Discusses the role of the nurse when interfacing with MCO and ACO patients
Mastery
●     Explains the role of the nurse when interfacing with MCO and ACO patients specific to the student’s specialty track
Financial models Impact on patients and nurses
Competency
●     Describes the impact of financial models upon patients and nurses
Mastery
●     Analyses the impact of financial models upon patients and nurses
Total Competency Criteria:
Total Mastery Criteria:

Application of Community Health and Population-Focused Nursing

CLA and Grade Criteria Chart

CRITERIA	CLA Score	Grade	Points
Meets all competency criteria and 3-4 of mastery criteria	5	A	1000
Meets all competency criteria and 0-2 of mastery criteria	4	B	850
Meets 3 of competency criteria	3	Not Yet Competent*	0
Meets 2 of competency criteria	2	Not Yet Competent*	0
Meets 1 of competency criteria	1	Not Yet Competent*	0
Meets 0 competency criteria	0	Not Yet Competent*	0
No submission	NA	Not Yet Competent*	0

 

*Not Yet Competent grades convert to an F at term end

 

*If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision without being scored. If the work submitted does not meet the minimum submission requirements by the end of the term you will receive a failing score.

 

Minimum Submission Requirements

Minimum Submission Requirements	MET	NOT YET MET
●       This assessment should be a Microsoft Word (minimum 800 words) document, in addition to the title and reference pages.
●     Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
●     Your submission should provide a clearly established and sustained viewpoint and purpose.
●     Your writing should be well ordered, logical, and unified, as well as original and insightful. ●     Your submission must be written in Standard English and demonstrate exceptional content, organization, style, grammar and mechanics.
●     A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.
●     Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.