IndexIntroductionMedicaid Case Study Analysis Using the Nadler-Tushman Congruence ModelLimitations of the Model and How They Manifested in the Case of studyHow to address the challenges posed by the modelConclusionIntroductionThe Nadler-Tuchman congruence model is an important tool in the process of transforming a company, program or institution. This model has up to three main phases to use in the transformation of a company, including analyzing the main transformation elements, analyzing how specific elements interact and relate within the organization, and implementing and maintaining congruence (Remmé, 2008). The main organizational elements taken into consideration when managing change include people, the nature of the work performed, the organizational structure and the organizational culture. According to this model, greater congruence between the main elements of an organization is the first step towards improving performance and efficiency. The congruence model helps ensure that both old and new elements in a system work together seamlessly to ensure organizational success. This model also takes into account the impact of a new strategy on an organization's performance and efficiency. This ensures that an organization improves its performance after implementing a new operational strategy (Sharma, 2015). Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original EssayMedicaid Case Study Analysis Using the Nadler-Tuchman Congruence ModelThe Medicaid case study presents the best way to implement the Nadler-Tuchman Congruence Model in a transforming organization. The case study begins by highlighting the analysis of major elements of the Medicaid program that helps identify key program congruence needs. The case identifies medical personnel, government, patients, community members, and program sponsors as key elements in implementing Medicaid initiatives (Remmé, 2008). This helps to identify key challenges that prevent congruence between elements, including lack of good communication, poor fund management and resource allocation, poor service delivery and poor organizational structure. Identifying key participants in the transformation process also helped define the strategies needed to restore congruence and thus improve efficiency (Sharma, 2015). Beyond that, the Nadler-Tuchman congruence model helped identify the major tasks performed in hospitals and the Medicaid program. The main tasks highlighted in health facilities and the Medicaid program include offering extended care to the elderly and disabled, offering better maternity care services, and providing low-cost medical services to all citizens. Identifying these tasks helped identify the best strategies for implementation and key stakeholders that will ensure the Medicaid program will run smoothly (Sharma, 2015). The application of the Nadler-Tuchman congruence model has also helped in restructuring the organization structure to ensure that they provide quality medical services. According to the model, organizational structure is another important determinant of performance and efficiency. According to Anderson (2012), structure an organizational structure that allows for both horizontal and communicationvertical is the first step towards improving performance and efficiency. From the case study, the Medicaid program is an amalgamation of many waiver programs and partnerships, so it requires good management and structuring of independent programs and bodies in order to record universal improvement in performance. Major waiver programs executed and administered under the Medicaid program include the Aid to Families with Dependent Children (AFDC) program, the Home Relief program, the Partnership Plan, and the DSRIP program (Remmé, 2008). Identifying these independent programs within the Medicaid program helps to understand the nature of the organizational structure thus allowing for better restructuring. In addition to the above steps and initiatives, the use of the Nadler-Tuchman congruence model has aided in the identification of organizational culture in New York Hospitals. This helped in evaluating the best strategies that will help improve the performance and efficiency of medical services. The culture assessment also helped strategize the best waiver programs that will help restore performance and efficiency. Identifying the culture of patients and healthcare workers has helped shape better ways of providing medical services through waiver programs. Some of the major waiver programs formulated during this period include the Affordable Care Act and the Medicaid Redesign Team. The formulation of these waiver programs has helped target specific patient groups and populations, thus ensuring that medical services are accessible to all. Regarding the case study, it is evident that using the Nadler-Tuchman congruence model has many advantages for an organization. It helps improve performance, reduce costs, improve efficiency and improve the office climate (Remmé, 2008). In addition to that, using this model in organizational transformation helps improve employee attitudes, increase the number of customers served each day, and reduce processing times. It helps an organization improve performance and efficiency, as well as reduce operating and management costs. In addition to this, the use of this model has contributed to the implementation of value-based payment schemes that help increase the quality and value of medical services. Limitations of the Model and How They Manifested in the Case Study Although the Nadler-Tuchman Congruence Model is the best transformation tool for organizations and businesses, it has a number of limitations. The first major limitation of this model is that it is usually a long transformation process. Applying the Nadler-Tuchman congruence model requires a systematic process of analyzing the tasks performed in an organization, identifying the key people involved in day-to-day operations, identifying the organizational structure, and identifying the organizational culture that can take a long time (Sharma, 2015). The process of identifying all the important elements of an organization can be time consuming and can lead to wasted time. In the case study, the process of identifying key elements in implementing the Medicaid program has been conducted for over a decade. This allowed enough time to plan the strategies needed to implement to achieve better performance. Although the Nadler-Tuchman congruence model has a complicated process that can take a long time, it is important to consider evaluating all steps before undertaking implementation (Sharma, 2007). Another important limitation of this., 2007).