Quality of initial posting Initial posting did not address elements of the discussion Initial posting addressed some elements of the discussion and lacked depth and/or breadth Initial posting addressed all elements of the discussion and demonstrated depth and breadth Criteria Below Expectations

Kreith don

AttachmentsSun, Jan 7, 2018, 7:30 AM

to dickens, Darious

Information
Paper Format: Number of pages: Type of work: Type of paper: Sources needed APA 3 Double spaced Writing from scratch Essay 3 Subject Accounting Topic 1.2 Point/Counterpoint
Academic Level: Bachelor
Paper details

Asssignment 1 300-word position
Point/Counterpoint I
Purpose
To assess your ability to debate healthcare finance issues that have a national impact.
Overview
Discuss tool to participate in a debate of current issues in healthcare finance.
Action Items
1. Research the implications of Medicaid expansion on the internet and Franklin Library.
2. View the following YouTube videos:
Two Republican Governors Discuss Medicaid Expansion

1.
If you are unable to view the above video, follow this link: http://www.youtube.com/embed/fMIaigx-Ts4
If you are unable to view the above video, follow this link: http://www.youtube.com/embed/fMIaigx-Ts4

2. Click on the Discuss tool to respond to the “To Expand or Not to Expand…” topic:
o What is your position regarding Medicaid expansion? Do you agree with Governor Perry or Governor Kasich?
 Support your position with at least one scholarly article. Use the Franklin University Nationwide Library databases to locate an appropriate article.
 Write a 300-word position statement of your opinion about Medicaid expansion.
 Review the position statements of two of your peers. Write a 150-word response to each peer in which you respectfully and professionally offer your opinion of their positions:
 Pose a clarifying question (e.g., What did you mean by…, Why did you say…, What criteria did you use…, What was your intention…, What is the connection…, What were your assumptions…?).
 Provide an additional insight, an “ah-hah moment”, or a respectful refutation.
 Discuss the strengths and/or weaknesses of the position not addressed in the initial post.
 Explain how the position would impact the state.
 Provide an application or practical example (e.g., I have seen an example of this…, The result of this could be…).
 Highlight additional impacts, interdependencies, or issues that the post did not address with an emphasis on the internal organizational impact.
3. Point/Counterpoint Rubric
4.
Learning Outcome:

Discussion Requirements Criteria Below Expectations
0 – 15 Approaches Expectations
16 – 17 Meets Expectations
18 – 20 Total Score

Quality of initial posting Initial posting did not address elements of the discussion Initial posting addressed some elements of the discussion and lacked depth and/or breadth Initial posting addressed all elements of the discussion and demonstrated depth and breadth
Criteria Below Expectations
0 – 7 Approaches Expectations
8 Meets Expectations
9 – 20
Quality of responses to peers Response postings lacked substance and did not provide relevant insights, pertinent experiences, or thoughtful opinions One or both response postings were minimally substantive and provided limited insights, experiences, and thoughtful opinions Both response postings were substantive and provided relevant insights, pertinent experiences, and thoughtful opinions
Writing Quality Criteria Below Expectations
0 – 3 Approaches Expectations
4 Meets Expectations
5
Writing meets graduate-level expectations Below graduate-level expectations; lacks professional quality; evidence of disorganized thought processes; major grammatical, spelling and/or typographical errors Approaches graduate-level expectations; average professional quality; evidence of organized thought processes; relatively few grammatical, spelling, and/or typographical errors Representative of graduate-level expectations; excellent professional quality; evidence of highly organized thought processes; no grammatical, spelling , or typographical, errors
APA Requirements Criteria Below Expectations
0 – 3 Approaches Expectations
4 Meets Expectations
5
Consistent application of APA standards In-text citations are missing; references are incomplete or not formatted correctly Most in-text citations are present and formatted correctly; most references are included and formatted correctly All in-text citations are present and formatted correctly; all references are included and formatted correctly
Total Possible: 50
5.
6. What is your position regarding Medicaid expansion? Do you agree with Governor Perry or Governor Kasich?
7. Support your position with at least one scholarly article. Use the Franklin University Nationwide Library databases to locate an appropriate article.
8. Write a 300-word position statement on Medicaid expansion.
9. Review the position statements of two of your peers. Write a 150-word response to each peer in which you respectfully and professionally offer your opinion of their positions:
Asssignment 2: 150-word position

Respond to this 1
Medicaid is a federally funded health insurance program intended for individuals that are low-income and disabled. Although all states participate, states vary individually in their eligibility requirements; some are more expanded than others. Rick Perry, a former Governor of Texas, presented his argument on not expanding Medicaid. One of his main points is that Medicaid, as it is, would benefit more from being reformed than being expanded. He believed that states deserved the control to make changes based on the individual needs of their unique populations. He also included in his speech that there needed to be a larger emphasis on patient’s responsibility and ownership over their personal care. John Kasich discussed his position on being for Medicaid expansion. He summed up his reasoning with explaining that Medicaid expansion was about compassion for citizens. Throughout my personal knowledge of Medicaid, research, and listening to both Perry and Kasich’s opinions, I have determined that I am for Medicaid expansion. I agree with Governor Kasich that it is just a basic human decency to help those less fortunate than you. Those who need to use Medicaid in order to gain health care are typically low income or unable to work for whatever reason, such as disability. It is my personal opinion that access to health care is a basic right, and therefore expanding Medicaid allows for more citizens the opportunity for that right. It has been shown that in states where Medicaid has been expanded, those who used Medicaid were more likely to be employed (Hall, Shartzer, Kurth, & Thomas, 2017). It can be suggested that this trend is due to the fact that if Medicaid is more inclusive in its eligibilities, then participants can have jobs or higher paying jobs. If one needs to stay under a certain wage, then it is unlikely that they will be encouraged to make more money that would put them above the wage, taking away their eligibility.

Hall, J., Shartzer, A., Kurth, N., & Thomas, K. (2017, February). Effect of Medicaid expansion on workforce participation for people with disabilities. American Journal of Public Health, 107(2), 262-264.

Asssignment 3: 150-word position

Respond to this 2

Medicaid expansion is one of the most hotly debated topics in American politics, mostly due it’s alarming growth in recent years. It’s mixture of policy under both federal and state governments forces policymakers to work together to become more effective in the program’s access, quality, and cost (Gapenski, 2015). Medicaid’s original intention was to provide a medical safety net for low-income mothers, children, elderly, blind, and disabled. It has morphed into the largest health insurance program in the U.S. covering an estimated 20 percent of Americans. Continuous Medicaid reform is essential, but most come at the cost of the delivery of healthcare or impact of the state’s economy.
Governor Kasich is correct in his support for the expansion of Medicaid. Decreasing the amount of uninsured in the U.S. is a strategic move under the Affordable Care Act to reduce the financial strains on hospitals and clinics by reducing uncompensated care costs. By reducing Medicaid, the amount of uninsured is essentially increased, driving up emergency care costs. An Ohio specific study showed that Ohio’s 2014 Medicaid expansion “coincided with a dramatic decline in the uninsured rate for low-income adults” (Seiber & Berman, 2017). While people fear the loss of industry in Ohio, especially in Northeast Ohio, they fail to recognize the importance of healthcare in supplying jobs and supporting the economy. There is no denying that Ohio is a hypercompetitive state in regard to healthcare systems. The Cleveland Clinic, Mercy Health, University Hospitals Health System, and Ohio Health all rank in the top 10 of employers in Ohio (“Ohio’s largest 100 employers in 2017: Walmart tops the list,” n.d.). These are only the top four employers and do not include smaller healthcare systems in which Medicaid helps to fund rural hospitals. The closing of a rural hospital can cause a downward economic spiral and destruction of a small community. According to Governor Kasich, Medicaid expansion would allow $13 billion to be reintroduced into Ohio’s economy making it essential to the states survival.
References:
Gapenski, L. C. (2015). Healthcare Finance; An Introduction to Accounting and Financial Management (5th Editio). Chicago: Health Administration Press.
Ohio’s largest 100 employers in 2017: Walmart tops the list. (n.d.). Retrieved December 30, 2017, from http://www.cleveland.com/datacentral/index.ssf/2017/04/ohios_largest_100_employers_in.html
Seiber, E. E., & Berman, M. L. (2017). Medicaid Expansion and ACA Repeal: Evidence From Ohio. American Journal of Public Health, 107(6), 889–892. https://doi.org/10.2105/AJPH.2017.303722