HCM400 CSU Provider Network Managed Care Contracting Presentation

Anonymous
timer Asked: Feb 9th, 2019
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Question Description

Please read details, requirements, instructions carefully. Make sure the citations are correct and in APA format. Make sure presentation is meets Rubric standards. Very strict professor.

Option #1: The Provider Network – Managed Care Contracting Presentation

The provider network is one of the most important elements of managed care because managed care could not exist without it.

  • What is the provider network?
  • Explain how the provider network is linked to act of managed care contracting?
  • What are 2-3 common challenges that a typical member of the provider network might encounter with managed care contracting? Explain why.
  • Discuss different approaches that a health plan might take to developing and maintaining a network under differing conditions such as a rural area, underserved area, or community where there is minimum competition between some specialties. Explain why.

Your presentation should meet the following requirements:

  • Be 4-6 slides long.
  • Include title, introductory, concluding, and reference slides for a total of 8-10 slides.
  • Each slide should have at least 150 words of speaker’s notes.

RUBRIC REQUIREMENTS

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeRequirements

5.0 to >4.0 pts

Meets Expectation

Includes all of the required components, as specified in the assignment.

4.0 to >3.0 pts

Approaches Expectation

Includes most of the required components, as specified in the assignment.

3.0 to >2.0 pts

Below Expectation

Includes some of the required components, as specified in the assignment.

2.0 to >0 pts

Limited Evidence

Includes few of the required components, as specified in the assignment.

5.0 pts

This criterion is linked to a Learning OutcomeContent

20.0 to >16.0 pts

Meets Expectation

Demonstrates strong or adequate knowledge of either the provider network or of credentialing in managed care contracting; correctly represents knowledge from the readings and sources.

16.0 to >12.0 pts

Approaches Expectation

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

12.0 to >8.0 pts

Below Expectation

Major errors or omissions in demonstration of knowledge.

8.0 to >0 pts

Limited Evidence

Fails to demonstrate knowledge of the materials.

20.0 pts

This criterion is linked to a Learning OutcomeCritical Analysis

20.0 to >16.0 pts

Meets Expectation

Provides a strong critical analysis and interpretation of the provider network as it pertains to the questions and concepts presented in the selected assignment option.

16.0 to >12.0 pts

Approaches Expectation

Some significant but not major errors or omissions in analysis and interpretation.

12.0 to >8.0 pts

Below Expectation

Major errors or omissions in analysis and interpretation.

8.0 to >0 pts

Limited Evidence

Fails to provide critical analysis and interpretation of the information given.

20.0 pts

This criterion is linked to a Learning OutcomeSources / Examples

10.0 to >8.0 pts

Meets Expectation

Sources or examples meet required criteria and are well chosen to provide substance and perspectives on the issue under examination.

8.0 to >6.0 pts

Approaches Expectation

Sources or examples meet required criteria but are less‐than adequately chosen to provide substance and perspectives on the issue under examination.

6.0 to >4.0 pts

Below Expectation

Sources or examples meet required criteria and are poorly chosen to provide substance and perspectives on the issue under examination.

4.0 to >0 pts

Limited Evidence

Source or example selection and integration of knowledge from the course is clearly deficient.

10.0 pts

This criterion is linked to a Learning OutcomeDemonstrates college-level proficiency in organization, grammar and style.

10.0 to >8.0 pts

Meets Expectation

Project is clearly organized, well written, and in proper format as outlined in the assignment. Strong sentence and paragraph structure; few errors in grammar and spelling.

8.0 to >6.0 pts

Approaches Expectation

Project is fairly well organized and written, and is in proper format as outlined in the assignment. Reasonably good sentence and paragraph structure; significant number of errors in grammar and spelling.

6.0 to >4.0 pts

Below Expectation

Project is poorly organized; does not follow proper paper format. Inconsistent to inadequate sentence and paragraph development; numerous errors in grammar and spelling.

4.0 to >0 pts

Limited Evidence

Project is not organized or well written, and is not in proper paper format. Poor quality work; unacceptable in terms of grammar and spelling.

10.0 pts

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

10.0 to >8.0 pts

Meets Expectation

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

8.0 to >6.0 pts

Approaches Expectation

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

6.0 to >4.0 pts

Below Expectation

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

4.0 to >0 pts

Limited Evidence

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

10.0 pts

Total Points: 75.0

Tutor Answer

TutorAR
School: University of Virginia

Hi, Find attached the paper for your review.Let me know if you need anything edited or changed.Looking forward to working with you again in future.Thank you.
Attached.

THE PROVIDER
NETWORK
STUDENT’S NAME
PROFESSOR’S NAME

COURSE TITLE
INSTITUTION
DATE

INTRODUCTION
• Provider networks are formed when an insurance company in
the health sector contracts with a network of providers such as
retail clinics, physicians, and hospitals to avail medical care that
has negotiable rates to members of the health plan.
• Members and insurers benefit from the provider rates that are
low and can obtain through contracting with the network.

PR...

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Review

Anonymous
Tutor went the extra mile to help me with this essay. Citations were a bit shaky but I appreciated how well he handled APA styles and how ok he was to change them even though I didnt specify. Got a B+ which is believable and acceptable.

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