CareOregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner


case study evaluating Assignment Outline and Tasks
I. Background – provide a brief yet well-rounded description of the organization under review (at the center of the case study)
a. Include the target population for this organization (who does it service?)
b. Include the key support this organization provides to the community or target
population (what is the service?)
II. Challenge – discuss the health and/or healthcare delivery challenge experienced by the organization and/or its community or target population (there might be more than one challenge – address at least one challenge)
III. Perspective – explain how the challenge led to the development of a perspective (reason) for the redesign of the service/s that would improve healthcare delivery and ultimately, the community’s or target population’s health; what is the perspective?
IV. Data Supporting the Redesign – describe the data collected (internally and externally) as evidence of the challenge and to support the perspective for redesign
V. Redesign & Model – discuss the model the organization employed to improve its service
a. Include the vision for redesign
b. Include how the model was applied
VI. Redesign Tools – list at least three tools utilized in the redesign and provide a brief
explanation of at least one
VII. Metrics – Identify at least one performance metric and explain its purpose and how it was utilized
VIII. Outcomes – discuss the outcomes of the redesign in relation to the challenge you have identified in the earlier part of this paper
IX. Analysis and Recommendations – analyze the strengths and weaknesses of the redesign (e.g., what worked well and what could be better to obtain a greater benefit)
a. Look at the lessons learned to assist your thought process
b. Given their lessons learned, what would you recommend as an improvement
strategy in the redesign? Suppose you had to implement a similar redesign, what
would you do better?
c. Discuss what level of government could be involved in this redesign and why.
d. Explain how this redesign improves health services within the continuum of care.
e. Briefly describe whether the redesign address acute care services or chronic care
services or both.
X. Conclusion

Assessment Level Explanation
CASE STUDY 1 ASSIGNMENT – HSCI 3201

3-Proficient
[Percent range: 93-100%]
• Structure & organization: Expertly structured response with a high level of organization and coherence.
• Addressing the task: Completely responds to the task.
• Writing: Excellent grammar, spelling, and punctuation.
• Argument/analysis: Provides support for all
ideas/arguments/analyses using credible explanations and sources.
• Writing voice: Student’s writing voice is strongly present, and all
information is appropriately written in student’s own words
2-Competent
[Percent range: 92-80%]
• Structure & organization: Mostly well-structured response a good level of organization and coherence, yet inconsistent at times.
• Addressing the task: Mostly responds to the task.
• Writing:Few grammatical, spelling, and/or punctuation errors.
• Argument/analysis: Most ideas/arguments/analyses are supported
with credible explanations and sources.
• Writing voice: Student’s writing voice is present yet inconsistent with
evidence of not fully using one’s own words with minimal credit to sources.
1-Novice
[Percent range: 79-0%]
• Structure & organization: Not well-structured response with little organization and coherence.
• Addressing the task: Minimally responds to the task.
• Writing: Many grammatical, spelling, and punctuation errors.
• Argument/analysis: Most ideas/arguments/analysis are not
supported with credible explanations and sources.
• Writing voice: Student’s writing voice is minimally present with
evidence of using direct language from sources without use of quotation marks and/or no credit given to the sources.



The mission of The Commonwealth Fund is to promote a high performance health care system. The Fund carries out this mandate by supporting independent research on health care issues and making grants to improve health care practice and policy. Support for this research was provided by
The Commonwealth Fund. The views presented here are those of the authors and not necessarily those of The Commonwealth Fund or its directors, officers, or staff.
For more information about this study, please contact:
Douglas McCarthy, M.B.A. Issues Research, Inc. [email protected]
To learn more about new publications when they become available, visit the Fund’s Web site and register to receive Fund email alerts.
Commonwealth Fund pub. 1423 Vol. 50
CareOregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner


we have to read it and make a essay in APA style

following the below as an outline:I. Background – provide a brief yet well-rounded description of the organization under review (at the center of the case study)
a. Include the target population for this organization (who does it service?)
b. Include the key support this organization provides to the community or target
population (what is the service?)
II. Challenge – discuss the health and/or healthcare delivery challenge experienced by the organization and/or its community or target population (there might be more than one challenge – address at least one challenge)
III. Perspective – explain how the challenge led to the development of a perspective (reason) for the redesign of the service/s that would improve healthcare delivery and ultimately, the community’s or target population’s health; what is the perspective?
IV. Data Supporting the Redesign – describe the data collected (internally and externally) as evidence of the challenge and to support the perspective for redesign
V. Redesign & Model – discuss the model the organization employed to improve its service
a. Include the vision for redesign
b. Include how the model was applied
VI. Redesign Tools – list at least three tools utilized in the redesign and provide a brief
explanation of at least one
VII. Metrics – Identify at least one performance metric and explain its purpose and how it was utilized
VIII. Outcomes – discuss the outcomes of the redesign in relation to the challenge you have identified in the earlier part of this paper
IX. Analysis and Recommendations – analyze the strengths and weaknesses of the redesign (e.g., what worked well and what could be better to obtain a greater benefit)
a. Look at the lessons learned to assist your thought process
b. Given their lessons learned, what would you recommend as an improvement
strategy in the redesign? Suppose you had to implement a similar redesign, what
would you do better?
c. Discuss what level of government could be involved in this redesign and why.
d. Explain how this redesign improves health services within the continuum of care.
e. Briefly describe whether the redesign address acute care services or chronic care
services or both.
X. Conclusion – provide your own creative conclusion to wrap up your case response
Noemí Rodríguez, January 2023


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