ØValue-Based care substantially in the clinical setting increases performance
ØValue-Based purchasing process efficiency or pay for performance in the health administration
ØIntegrated Systems for delivery increases value-based care for patients
Ø Aligning Value- based care with efficiency to create value for patient care
The payment model that provides financial incentives to hospitals, physicians, healthcare providers, and other medical groups for gaining certain measure of performance is known as Value-Based Purchasing or Pay for Performance(P4P). Clinical results, like long survival, are hard to measure, thus making value-based purchasing process efficient and quality for evaluation process. Things like lowering blood pressure, measuring blood pressure, or even advising patients to avoid smoking. This work scheme also penalizes medical and health care workers for medical professional errors, poor results, or even increased costs. The introduction of the integrated systems for delivery whereby, the providers and the insurers cost share to help in aligning motivation for value-based care ( Bosko,Dubow,Koenig, 2016).
NUR 621 Value-Based Purchasing Presentation
Scenario: You work in the contracting department of a national payer that is converting its provider contracts to value-based arrangements. Your team is attempting to recontract with large physician groups. In NUR 621 Value-Based Purchasing Presentation, create a 12- to 15-slide presentation with speaker notes to demonstrate the benefits of converting to a value-based arrangement:
Describe how value-based care differs from fee-for-service or capitated care.
Explain why adopting a value-based purchasing arrangement would be financially beneficial to both physician groups and the health plan.
Include at least three references, one of which should be your textbook.
Prepare this assignment in accordance with the APA Style Guide, which can be found in the Student Success Center.
This assignment makes use of a rubric. Please review the rubric before beginning the assignment to become acquainted with the requirements for successful completion.
You must turn in this assignment to LopesWrite. If you require assistance, a link to the LopesWrite technical support articles can be found in Class Resources.
Value-Based Purchasing Presentation – Rubric
Value-Based Care
Criteria Description
Value-Based Care
5. Target
16 points
The presentation explains value-based care in a substantial and thought-provoking manner.
4. Acceptable
14.72 points
The presentation explains value-based care in a substantial manner.
3. Approaching
14.08 points
The presentation clearly explains value-based care.
2. Insufficient
12.8 points
The presentation vaguely explains value-based care.
1. Unsatisfactory
0 points
The presentation does not sufficiently explain value-based care.
Differences in Value-Based Care
Criteria Description
Differences in Value-Based Care
5. Target
16 points
The presentation explains how value-based care differs from a fee-for-service or a capitated approach in a substantial and thought-provoking manner.
4. Acceptable
14.72 points
The presentation explains how value-based care differs from a fee-for-service or a capitated approach in a substantial manner.
3. Approaching
14.08 points
The presentation clearly explains how value-based care differs from a fee-for-service or a capitated approach.
2. Insufficient
12.8 points
The presentation vaguely explains how value-based care differs from a fee-for-service or a capitated approach.
1. Unsatisfactory
0 points
The presentation does not sufficiently explain how value-based care differs from a fee-for-service or a capitated approach.
Financial Advantages to Value-Based Purchasing
Criteria Description
Financial Advantages to Value-Based Purchasing
5. Target
16 points
The presentation thoroughly and substantially describes why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.
4. Acceptable
14.72 points
The presentation thoroughly describes why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.
3. Approaching
14.08 points
The presentation clearly describes why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.
2. Insufficient
12.8 points
The presentation vaguely describes why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.
1. Unsatisfactory
0 points
The presentation does not sufficiently describe why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.
Presentation of Content
Criteria Description
Presentation of Content
5. Target
8 points
The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.
4. Acceptable
7.36 points
The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.
3. Approaching
7.04 points
The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other.
2. Insufficient
6.4 points
The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.
1. Unsatisfactory
0 points
The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.
Layout
Criteria Description
Layout
5. Target
8 points
The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.
4. Acceptable
7.36 points
The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.
3. Approaching
7.04 points
The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.
2. Insufficient
6.4 points
The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.
1. Unsatisfactory
0 points
The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.
Language Use and Audience Awareness
Criteria Description
Language Use and Audience Awareness (includes sentence construction, word choice, etc.)
5. Target
8 points
The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.
4. Acceptable
7.36 points
The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.
3. Approaching
7.04 points
Language is appropriate to the targeted audience for the most part.
2. Insufficient
6.4 points
Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.
1. Unsatisfactory
0 points
Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.
Mechanics of Writing
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. Target
4 points
Writer is clearly in control of standard, written, academic English.
4. Acceptable
3.68 points
Slides are largely free of mechanical errors, although a few may be present.
3. Approaching
3.52 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader.
2. Insufficient
3.2 points
Frequent and repetitive mechanical errors distract the reader.
1. Unsatisfactory
0 points
Slide errors are pervasive enough that they impede communication of meaning.
Documentation of Sources
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5. Target
4 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
4. Acceptable
3.68 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
3. Approaching
3.52 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
2. Insufficient
3.2 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
1. Unsatisfactory
0 points
Sources are not documented.
Total 80 points
Resources
Economics and Financial Management for Nurses and Nurse Leaders
Read the section, “ACOs Compared With MCOs,” of Chapter 3 and review the section, “ACA Timeline,” of Chapter 2
