There is a general shift in reimbursement for healthcare services from a volume-based (more patients, more...
There is a general shift in reimbursement for healthcare services from a volume-based (more patients, more income) to a value-based (better patient outcomes, more income) emphasis. Is this shift working? For whom? Why or why not?
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There is a general shift in reimbursement for healthcare
services from a volume-based (more patients, more...
Reform of reimbursement systems for healthcare services provided to ambulatory patients began in 1992. Spurred by...
Reform of reimbursement systems for healthcare services provided to ambulatory patients began in 1992. Spurred by effective curbs in the acute care setting, Congress authorized DHHS to design and implement reformed payment systems in many settings for ambulatory patients. Questions: Discuss the impact these reimbursement systems have had on physician offices, ambulatory surgery centers, and hospital outpatient services. In your response, discuss the benefits and advantages of the ambulatory and outpatient reimbursement system.
Option 1: Briefly discuss one of the following changes that are impacting healthcare quality and reimbursement...
Option 1: Briefly discuss one of the following changes that are impacting healthcare quality and reimbursement today: The Patient Protection and Affordable Care Act (PPACA) The Prospective Payment System and development of diagnosis-related groups (DRGs) Shift from third party, fee-for-service plans to capitated managed care programs Shift of government and private insurer reimbursement from volume to value based reimbursement. Option 2: Briefly discuss one of the following sets of budget concepts: Personnel, operating and capital budgets Fixed/variable, controllable/non-controllable costs for...
According to the provisions of the Affordable Care Act, hospital reimbursement for healthcare services can be...
According to the provisions of the Affordable Care Act, hospital reimbursement for healthcare services can be severely limited or entirely eliminated in paying for patients readmitted to the hospital within 30 days of discharge for conditions such as pneumonia. This well-intended provision was put forward with the goal of getting healthcare organizations to provide sufficient post-discharge support to patients. However, this provision is resulting in lack of reimbursement for purposeful re-admissions that occur within 30 days. For example, Jane was...
Assess the history and proliferation of outpatient healthcare services and discuss why the shift away from...
Assess the history and proliferation of outpatient healthcare services and discuss why the shift away from traditional hospital inpatient care continues. Then predict what a hospital versus outpatient healthcare organization or clinic will look like 10–15 years in the future.
What are the pros and cons (benefits, disadvantages, and consequences) of moving from a fee-for-service healthcare...
What are the pros and cons (benefits, disadvantages, and consequences) of moving from a fee-for-service healthcare delivery system to a value-based model of care in which healthcare systems and healthcare providers are reimbursed based on health outcomes versus a fee-for-service in which payment is based on the amount (volume) of healthcare services delivered?
Risk-Based Reimbursement For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations...
Risk-Based Reimbursement For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations (HMOs) via capitation, fee-for-service, relative value scale, or salary. Capitation is considered as a risk based compensation. In an effort to understand the intricacies involved with physician reimbursement, particularly in an era of health care reform, identify and interview an expert in the field, such as: Hospital Administrator Managed Care Organization (MCO) executive Health care Consultant Legal Professional Assumption: MCOs use risk-based reimbursement for...
Prepare a statement of operations: (only 1 year) Revenue from patients: $5,000,000, Medical services $ 600,000;...
Prepare a statement of operations: (only 1 year) Revenue from patients: $5,000,000, Medical services $ 600,000; Therapy services $100,000; support services $200,000, General services $ 300,000, Depreciation $150,000, Interest $ 50,000; interest income $1,000 ------------------------------------------ Revenue: Net Patient Service Revenue Total Operating Revenue Operating Expense: .... Total Operating Expenses: Income from operations: Nonoperating Gains (Losses) Interest Income: Net Nonoperating Gains: Revenue and Gains in Excess of Expenses and Losses: Increase in Unrestricted Fund Balance:
why are each of the following important recommendations for refugees and immigrants in the healthcare industries...
why are each of the following important recommendations for refugees and immigrants in the healthcare industries (explain each individually). Understanding the importance of cultural influences on patients health beliefs and behaviors. Using multi disciplinary teams and interpreters. Lower cost and grants to medical services. Provide support groups for immigrants such as cultural groups. Educating and communicating with immigrant and refugee groups and partners. Collect as much information per patient because all groups cases are unique. Granting more Visas to nurses...
why are each of the following important recommendations for refugees and immigrants in the healthcare industries...
why are each of the following important recommendations for refugees and immigrants in the healthcare industries (explain each individually) Understanding the importance of cultural influences on patients health beliefs and behaviors. Using multi disciplinary teams and interpreters. Lower cost and grants to medical services. Provide support groups for immigrants such as cultural groups. Educating and communicating with immigrant and refugee groups and partners. Collect as much information per patient because all groups cases are unique. Granting more Visas to nurses...
Interprofessional education allows students to better collaborate and learn about how to improve health outcomes. Collaboration...
Interprofessional education allows students to better collaborate and learn about how to improve health outcomes. Collaboration is important to improve health systems and outcomes. The NES Southeast Multi-professional team has created a IPL masterclass to help increase patient safety and enhance patient satisfaction. During this masterclass, many different healthcare workers are taught by a interprofessional group from general practices. They learn about adult learning, teaching and learning styles, giving feedback, effective group-work, planning learning sessions, managing difficult behaviors, and how...
According to the provisions of the Affordable Care Act, hospital reimbursement for healthcare services can be severely limited or entirely eliminated in paying for patients readmitted to the hospital within 30 days of discharge for conditions such as pneumonia. This well-intended provision was put forward with the goal of getting healthcare organizations to provide sufficient post-discharge support to patients. However, this provision is resulting in lack of reimbursement for purposeful re-admissions that occur within 30 days. For example, Jane was...
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