3.2 presentation cost impact on medicare v Medicaid

Overview

Even before the Affordable Care Act was enacted, the government-run Medicare and the state-run Medicaid programs

extended healthcare services to all U.S. ci"zens above age 65, to ci"zens with disabili"es, and to ci"zens belonging to low-

income groups. Considering the rising cost of healthcare services, create a PowerPoint presenta"on comparing the two

programs.

This ac"vity will help you dis"nguish between Medicare and Medicaid. It will also enable you to assess the impact of

Medicare and Medicaid on organiza"onal financial performance and strategic planning.

Direc!ons

Create a PowerPoint presenta"on with speaker notes. In your speaker notes, be sure to indicate which notes belong with

each slide.

If you need wri"ng support, access the Online Wri"ng Center through the Academic Support module of your course.

Specifically, you must address the following rubric criteria:

1. Medicare vs. Medicaid: Describe the differences between the federal Medicare program and the Medicaid program in

your state and how they impact financial reimbursement from the perspec"ve of the healthcare system. Consider the

following ques"ons to guide your response:

What are the features of the two healthcare programs?

Considering the age and disabili"es of the groups covered by the two programs, what aspects of healthcare

services will be in most demand?

How will you obtain updates about the changes in the Medicare Physician Fee Schedule and the state

Medicaid Physician Fee Index?

2. Cos!ng and Strategy: Explain why healthcare administrators need to consider cost when strategically planning for

Medicare and Medicaid popula"on growth. Consider the following ques"ons to guide your response:

What is the percentage growth in consumer base?

Which healthcare services (for example, virtual healthcare, wellness programs, fitness center memberships,

and so on) are the most in demand because of this consumer growth?

What changes can you propose in healthcare strategies to meet this change?

3. Cost-Reduc!on Ini!a!ves: Iden"fy cost-reduc"on ini"a"ves and state how you would opera"onalize them within the

healthcare environment. Consider the following ques"ons to guide your response:

Which are the services with the greatest poten"al to reduce costs?

Would external rela"onships with other healthcare systems or service providers help reduce costs?

Would helping the consumers choose the correct healthcare plans help curb costs?

4. Cost Control: Describe at least two effec"ve, alterna"ve ways to control rising healthcare costs Consider the

following ques"ons to guide your response:

Which are the healthcare services where the costs have gone up the most?

Which preventa"ve healthcare services could be used to control these costs?

Which less expensive services could be offered as alterna"ve op"ons?

Note that your presenta"on should be evidence based. Your cita"ons should be from your independent search for evidence

(not from the scenario, textbook, or module resources) of credible sources and be current within the last five years. You are

required to cite a minimum of two sources overall. Refer to the IHP 630 Library Guide located in the Start Here sec"on of the

course for addi"onal support.

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What to Submit

Your submission should include a 4- to 6-slide PowerPoint presenta"on and a 2- to 4-page Word document containing your

speaker notes. Use a clear, professional font and appropriate PowerPoint presenta"on slide design. Speaker notes should be

typed in 12-point Times New Roman font, double spacing, and one-inch margins. Sources should be cited according to APA

style.

Criteria Exemplary (100%) Proficient (90%) Needs

Improvement (70%) Not Evident (0%) Value

Medicare vs. Medicaid

Exceeds proficiency in an excep"onally clear and insigh#ul manner, using industry-specific language

Describes the differences between the federal Medicare and state Medicaid programs and how they impact financial reimbursement from the perspec"ve of the healthcare system

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

20

Cos!ng and Strategy

Exceeds proficiency in an excep"onally clear and insigh#ul manner, using industry-specific language

Explains why healthcare administrators need to consider cost when strategically planning for Medicare and Medicaid popula"on growth

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

20

Cost-Reduc!on Ini!a!ves

Exceeds proficiency in an excep"onally clear and insigh#ul manner, using industry-specific language

Iden"fies cost- reduc"on ini"a"ves and states how to opera"onalize them within the healthcare environment

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

20

Cost Control Exceeds proficiency in an excep"onally clear and insigh#ul manner, using industry-specific language

Describes at least two effec"ve, alterna"ve ways to control rising healthcare costs

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

15

Ar!cula!on of Response

Exceeds proficiency in an excep"onally clear and insigh#ul manner

Clearly conveys meaning with correct grammar, sentence structure, and spelling,

Shows progress toward proficiency, but with errors in grammar, sentence structure, and

Submission has cri"cal errors in grammar, sentence structure, and spelling, preven"ng

10

Module Three Presenta!on Rubric

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demonstra"ng an understanding of audience and purpose

spelling, nega"vely impac"ng readability

understanding of ideas

Scholarly Sources Incorporates more than two scholarly, current (within the last five years) sources, or use of sources is excep"onally insigh#ul

Incorporates two scholarly, current (within the last five years) sources that support claims

Incorporates fewer than two scholarly, current (within the last five years) sources, or not all sources support claims

Does not incorporate sources

10

APA Style Formats in-text cita"ons and reference list according to APA style with no errors

Formats in-text cita"ons and reference list according to APA style with fewer than five errors

Formats in-text cita"ons and reference list according to APA style with five or more errors

Does not format in- text cita"ons and reference list according to APA style

5

Total: 100%

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