Value: 100 points
Due: In an effort to facilitate scholarly discourse, create your initial post by Day 4, and reply to at least two of your classmates, on two separate days, by Day 7.
Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the question below.
Initial Post
If your first name begins with the letters A–M: Topic 1 – Cost of Long-Term Care and Reimbursement
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Using the learning materials to support your claims, respond to the following prompts in your initial post:
Describe what surprised you in the learning materials around the cost of long-term care.
Explain the financial challenges and realities that older adults face as they age.
Describe the ways in which long-term care is paid for by aging adults and patterns over time. How would this impact your work as the leader of a long-term care organization?
Nursing home care is common and costly. Describe how accountable care organization (ACO) payment models have incentives for care that is better coordinated and less reliant on acute settings.
Describe ways in which long-term care is reimbursed for services and the impacts of pay-for-performance models. Does this have the potential to improve care for this high-cost population?
As a leader of a long-term care organization, do you think it is cost effective to provide a more comfortable setting through cultural change?
Does the pay-for-performance model for reimbursement have advantages?
How do low reimbursement rates impact the quality of care delivered to aging adults living in a long-term care setting?
Your initial post should be 500 to 700 words, with one to two supporting references included.
If your first name begins with the letters N–Z: Topic 2 – Medicaid Spend Down and Ethical Viewpoints
After reading Payne (2015), respond to the following prompts in your original post:
Describe what the author refers to with the phrase Medicaid planning.
Describe ethical factors related to Medicare planning and spending down assets to qualify. Provide an argument for those who support this and those who oppose.
What are the consequences to the healthcare industry if an aging adult is allowed to “spend down” to access Medicaid to cover health care costs (that is, increasing costs and diminished quality)?
How would this impact you as a leader of a long-term care organization and your ability to care for aging adults?
Your initial post should be 500 to 700 words, with one to two supporting references included.
Replies
If your first name begins with the letters A–M: Reply to at least two of your classmates whose first names begin with the letters N–Z. In your reply posts, provide ethical factors that your peers may not have presented. Discuss possible policy solutions to overcome challenges presented by your peers. Discuss the difficult balance of personal choice of a person and ethical factors such as tax dollars paying for someone’s care. Your reply posts should be 200 to 400 words, with a minimum of one supporting reference included.
Please refer to the Grading Rubric for details on how this activity will be graded.
If your first name begins with the letters N–Z: Reply to at least two of your classmates whose first names begin with the letters A–M. In your reply posts, identify common themes among your post and your peers’ posts. Describe utilization by long-term nursing home residents under an ACO. Are there policy solutions to these themes? Is there a better way to reimburse long-term care organizations? What are gaps in the ACO model of reimbursement? Should the government reimburse care-related expenses beyond just long-term care, what might this include?
Your reply posts should be 200 to 400 words, with a minimum of one supporting reference included.
Please refer to the Grading Rubric for details on how this activity will be graded.
Posting to the Discussion Forum
Select the appropriate Thread.
Select Reply.
Create your post.
Select Post to Forum.
Note: The value of each of the criterion on this rubric represents a point range (example: 25–20 points, 20–15 points, 15–10 points, 10–0 points).
Criteria
Exceeds Expectations
Meets Expectations
Needs Improvement
Inadequate
Total Points
Quality of Initial Post
Initial post is on time and of the correct length (500–750 words).
All components of the initial post requirements are addressed.
Course content synthesis is applied.
References are included according to the Discussion instructions.
25 points
Initial post is on time and of the correct length (500–750 words).
Most components of the initial post requirements are addressed.
Course content synthesis is applied but limited.
References are included according to the Discussion instructions.
20 points
Initial post is one day late.
Does not meet the correct length (500–750 words).
Some components of the initial post requirements are addressed.
Course content synthesis is weak or missing.
References are included but not according to the Discussion instructions.
15 points
Initial post is more than one day late.
Initial post much fewer than (500–750 words).
Few components of the initial post requirements are addressed.
Course content synthesis is missing.
References are not included.
10 points
25
Peer Replies
On time.
There was substantial evidence and synthesis of course content utilizing course topics and the introduction of questions and new information.
Replies are 200–400 words.
References are included according to the Discussion instructions.
25 points
On time. There was some evidence and synthesis of course content utilizing course topics and the introduction of questions or new information.
Replies are 200–400 words.
References are included according to the Discussion instructions.
20 points
There was either some synthesis of course content or the introduction of questions or new information.
Replies are less than 200 words.
References are included but not according to the Discussion instructions.
15 points
There was little or no evidence of course content utilizing course topics or the introduction of questions or new information.
Replies are less than 200 words
References are not included.
10 points
25
Frequency of Contribution
Initial post with two peer replies posted on two separate days.
25 points
Initial post with two peer replies posted on the same day.
20 points
Initial post with one peer reply.
15 points
Only initial post submitted or only replied to peers.
10 points
25
Organization, Writing Mechanics, and APA Format
Clearly organized, no or limited writing mechanics and/or APA errors.
25 points
Clearly organized, few to some writing mechanics and/or APA errors.
20 points
Poorly organized, several to moderate writing mechanics and/or APA errors.
15 points
Poorly organized, many writing mechanics and/or APA errors.
10 points
25
Total points
100
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