Published: 02-12-2019

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The Use Of Nadler-Tuchman Congruence Model In Analyzing Medicaid Case Study

The Nadler-Tuchman Congruence Model is an critical tool in the transformation procedure of a organization, program, or institution. This model has up to three key measures for use in transformation of a organization which includes analysis of the key transformation components, analysis of how the distinct elements interact and interrelate inside the organization and the implementation and maintaining of congruence (Remmé, 2008). The major organizational elements put into consideration during modify management contain folks, nature of perform done, organizational structure, and organizational culture. According to this model, enhanced congruence in between the major elements of an organization is the first step towards enhanced performance and efficiency. The congruence model assists to make sure that both old and new components in a method operate together seamlessly to make certain that there is organizational achievement. This model also puts into consideration the impact of a new strategy on overall performance and efficiency of an organization. This ensures that an organization improves its functionality soon after implementation of a new operating strategy (Sharma, 2015).

Analyzing the Medicaid Case Study making use of the Nadler-Tushman Congruence Model

The Medicaid Case Study presents the greatest way of implementing the Nadler-Tuchman Congruence Model in a transforming organization. The case study begins by highlighting the analysis of the key elements of the Medicaid program which assists in the identification of the major congruency wants for the program. The case identifies medical personnel, the government, patients, the community members, and sponsors of the plan as the major elements in the implementation of Medicaid initiatives (Remmé, 2008). This aids in the identification of the main challenges preventing congruency among the elements like lack of good communication, poor management of funds, and poor allocation of resources, poor service delivery, and poor organizational structure. Identification of the main participants in the transformation method also helped in setting the essential techniques needed in restoring congruency hence improving efficiency (Sharma, 2015). s

Apart from that, the Nadler-Tuchman Congruence Model helped identification of the major tasks performed in hospitals and in the Medicaid program. The main tasks that have been highlighted in wellness facilities and the Medicaid program consist of providing in depth care for the old and handicapped, supplying enhanced maternity care solutions, and delivering low cost health-related solutions to all citizens. Identification of these tasks helped in the identification of the ideal approaches for implementation and the key stakeholders who will guarantee that the Medicaid plan will run smoothly (Sharma, 2015).

Application of the Nadler-Tuchman Congruence Model also helped in the restructuring of the organizational structure to ensure that they deliver good quality medical solutions. According to the model, the organizational structure is an additional significant determinant of overall performance and efficiency. According to Anderson (2012), structuring an organizational structure that will enable for each horizontal and vertical communication is the 1st step towards enhanced performance and efficiency. From the case study, the Medicaid system is an amalgamation of a lot of waiver applications and partnerships therefore requiring excellent management and structuring of the independent applications and bodies in order to record universal performance improvement. The significant waiver programs run and management under the Medicaid plan consist of the Aid to Families with Dependent Children (AFDC), Home Relief system, Partnership strategy, and DSRIP system (Remmé, 2008). Identification of these independent programs under the Medicaid program aids to comprehend the nature of the organizational structure hence enabling for better restructuring.

Apart from the above steps and initiatives, use of the Nadler-Tuchman Congruence Model helped in the identification of the organizational culture in New York hospitals. This helped in evaluation of the ideal approaches that will aid in improvement of efficiency and efficiency of health-related solutions. Evaluation of the culture also helped in strategizing on the very best waiver programs that will help in restoring efficiency and efficiency. Identification of the culture of patients and health care personnel helped in the formation of much better techniques of delivering medical solutions through waiver programs. Some of the key waiver programs formulated during this period consist of Inexpensive Care Act and Medicaid redesign group. Formulation of these waiver programs helped in addressing specific groups of individuals and the population hence making certain that medical solutions are accessible to all.

In regard to the case study, it is evident that the use of Nadler-Tuchman Congruence Model has several rewards to an organization. It assists in the improvement of overall performance, reduction of expenses, improvement of efficiency, and improvement of workplace climate (Remmé, 2008). In addition to that, use of this model in organizational transformation assists in boosting employee attitudes, escalating quantity of consumers served per day, and reducing processing time. It aids an organization to enhance in efficiency and efficiency as nicely as decrease operational and operating charges. In addition to this, use of this model has helped in the implementation of worth-primarily based payment schemes which support in boosting the high quality and worth of health-related solutions.

Limitations of the model and how they manifested in the case study

Though the Nadler-Tuchman Congruence Model is the ideal transformational tool for organizations and organizations, it has a quantity of limitations. The very first major limitation of this model is that it is normally a long transformational process. Application of the Nadler-Tuchman Congruence Model demands a systematic method of analyzing the tasks performed in an organization, identification of the key individuals involved in the everyday operations, identification of the organizational structure, and identification of organizational culture which can be time consuming (Sharma, 2015). The process of identifying all the crucial components in an organization can be time consuming and can lead to loss of time. In the case study, the procedure of identifying the significant components in the implementation of the Medicaid program was carried out for over a decade. This permitted for adequate time in organizing the essential approaches to be implemented for much better efficiency. Although the Nadler-Tuchman Congruence Model has a difficult procedure that can be time consuming, it is crucial that a single considers evaluating all methods ahead of embarking on implementation (Sharma, 2007).

One more major limitation of this model is that it is high-priced. This model demands studying of the key elements of an organization, analysis of the existing overall performance indicators and step by step strategizing of the very best methods to enhance performance. The use of this model in functionality improvement in the Medicaid program led to use of $23.24 billion in 2000. This spending has escalated over the years and has reached $46.66 billion in 2013 (Sharma, 2015). Despite the fact that this escalation in spending can be attributed to population growth, the strategy employed in strategic improvement is very critical and can be a determinant of the higher charges.

Apart from the above challenges, this strategy is also technical and calls for skilled personnel who can be in a position to analyze and evaluate all organizational elements just before implementation of methods. Lack of sufficient evaluation of the significant organizational components and activities can lead to inaccurate choices hence implementation of poor methods (Sharma, 2007). Possessing skilled and skilled personnel for the implementation of the model for the duration of change management can also aid an organization to cut on expenses incurred for the duration of changeover and decrease the challenges associated with changeover method.

How to deal with the challenges posed by the model

In order to deal with the above challenges, it is important that 1 seeks a skilled and knowledgeable personnel to assist in guiding and controlling activities for the duration of the changeover procedure (Skipton et al., 2012). Obtaining a skilled personnel will help in minimizing the challenges that occur during changeover and also make sure that there is efficient utilization of obtainable sources. This will assist in cutting operational costs for the duration of the changeover and also boost the efficiency of the changeover process.

Apart from that, getting a skilled implementation personnel will also help in lowering the complexity of the changeover approach hence minimizing the changeover period. Skilled personnel are capable to evaluate and comprehend the significant components, culture, and organizational structure of an organization with ease. This assists in elimination of lengthy procedures and methods in the changeover method therefore making sure that the process is efficient and rapidly (Skipton et al., 2012). Apart from that, having skilled changeover personnel will also support an organization to cut on the changeover charges connected with the use of the Nadler-Tuchman Congruence Model. This is because a skilled personnel will assist in the identification of challenges, additional running costs, and unnecessary expenses hence giving much better methods of conducting the changeover procedure.


In conclusion, it is evident that the case study depicts a very good changeover method utilizing the Nadler-Tuchman Congruence Model. The case also highlights the significant medical schemes and applications devised to generate an effective and productive changeover. The case also provides a quantity of challenges and concerns arising during the changeover approach which includes higher changeover fees, time consuming process, and need for skilled and knowledgeable changeover personnel (Sharma, 2007).
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