Health Care Payer

Health Care Payer

As a nurse practitioner, it’s important that you understand the impact of health care payer system politics on the quality of care.
Assume you’ve been asked, in your role as lead nurse practitioner for your local medical clinic, to prepare an editorial reflecting on the article below and its applicability in your local community.
Read “Equity-Efficiency Tradeoff: The Hospital Readmissions Reduction Program And Disparities In Outcomes Among Vulnerable Medicare Heart Failure Patients In Pennsylvania.” from the University Library page.
Write a 750-word editorial reflection on the issue of the equity-efficiency tradeoff on quality of care and positive patient outcomes as they might apply to your own community.
Note: An editorial reflection is written in the first person. It is supported by evidence that is justified using citations and references.
Use the following questions to reflect on the article and your editorial response:

• What impact did the Affordable Care Act have on the Centers for Medicaid and Medicare (CMS) in their effort to focus on both quality of care and cost reduction?
• How did the CMS’s Hospital Readmission Reduction Program (HRRP) impact disadvantaged populations?
• How did a nurse practitioner keep a patient out of the hospital?
• The article makes the statement that health care is a civil rights issue. Do you agree or disagree with this statement after reading the article? Provide evidence for your position.

Grading Rubric for Writing Assignment

Your professor may use a slightly different rubric, but the standard rubric at AUR will assess your writing according to the following standards:

 

 

	A (4)		B (3)	C (2)	D/F (1/0)
Focus: Purpose	Purpose is clear		Shows awareness of purpose	Shows limited awareness of purpose	No awareness
Main idea	Clearly presents a		There is a main idea	Vague sense of a	No main idea
	main idea and		supported throughout	main idea, weakly
	supports it		most of the paper.	supported
	throughout the			throughout the
	paper.			paper.
Organization:	Well-planned and		Good overall	There is a sense of	No sense of
Overall	well-thought out.		organization, includes	organization,	organization
	Includes title,		the main	although some of the
	introduction,		organizational tools.	organizational tools
	statement of main			are used weakly or
	idea, transitions and			Missing
	conclusion.
Organization:	All paragraphs have		Most paragraphs have	Some paragraphs	Para. lack clear ideas
Paragraphs	clear ideas, are		clear ideas, are	have clear ideas,
	supported with		supported with some	support from
	examples and have		examples and have	examples may be
	smooth transitions.		transitions.	missing and
				transitions are weak.
Content	Exceptionally well-		Well-presented and	Content is sound and	Content is not sound
	presented and		argued; ideas are	solid; ideas are
	argued; ideas are		detailed, developed	present but not
	detailed, well-		and supported with	particularly
	developed,		evidence and details,	developed or
	supported with		mostly specific.	supported; some
	specific evidence &			evidence, but
	facts, as well as			usually of a
	examples and			generalized nature.
	specific details.
Research (if	Sources are		Sources are well	Sources support	The paper does not
assignment	exceptionally well-		integrated and	some claims made in	use adequate
includes a	integrated and they		support the paper’s	the paper, but might	research or if it does,
research	support claims		claims. There may be	not be integrated	the sources are not
component)	argued in the paper		occasional errors, but	well within the	integrated well.
	very effectively.		the sources and	paper’s argument.	They are not cited
	Quotations and		Works Cited conform	There may be a few	correctly according
	Works Cited		to MLA style sheet.	errors in MLA	to MLA style, nor
	conform to MLA			style..	listed correctly on
	style sheet.				the Works Cited
					page.
Style: Sentence	Sentences are clear		Sentences are clear	Sentences are	Sentences aren’t
structure	and varied in		but may lack	generally clear but	clear
	pattern, from simple		variation; a few may	may have awkward
	to complex, with		be awkward and there	structure or unclear
	excellent use of		may be a few	content; there may
	punctuation.		punctuation errors.	be patterns of
				punctuation errors.
Style: Word	There is clear use of		There is an attempt at	There is little	No attempt at style
choice, Tone	a personal and		a personal style but	attempt at style;
	unique style of		style of writing may	reads as flat and
	writing, suited to		be awkward or	perhaps
	audience and		unsuited to audience	uninteresting in
	purpose; the paper		and purpose; the	content, which is
	holds the reader’s		reader may lose	usually generalized
	interest with ease.		interest in some	and clichéd.
			sections of the paper.
Style: Details	Large amounts of		Some use of specific	Little use of specific	No use of examples
and Examples	specific examples		examples and	examples and
	and detailed		detailed descriptions.	details; mostly
	descriptions.		May have extended	generalized
			examples that go on	examples and little
			for too long.	description.
Grammar &	Excellent grammar,		A few errors in	Shows a pattern of	Continuous errors
Mechanics	spelling, syntax and		grammar, spelling,	errors in spelling,
	punctuation.		syntax and	grammar, syntax
			punctuation, but not	and/or punctuation.
			many.	Could also be a sign
				of lack of proof-
				reading.

 

Health Care Payer

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