Question

In your opinion, what are the top two hot topics with regard to healthcare reimbursement? Provide a rationale for your answers.
What methods exist that allow hospitals and providers to stay on top of these hot topics? Provide a description of these methods and explain why they are effective.

Answer 1

Topics:

1. Is a healthcare reimbursement plan a group health plan? because the plan is required to comply with the ACS's market reforms.
2. Is an health reimbursement plan an employer payment plan? An employer payment plan is an informal practice where an employer reimburses or pays directly for an employees medical expenses.

Methods:

• free service option in the clause
• Teaming up with independent transportation network.
• partnership with congregational networks to coordinate rides
• Teaming up with retail clinics.

     These are effective, as healthcare providers are paid by insurance or government payers through a system of reimbursement. The amount that is billed is based on the service and the agreed upon amount that medicare has contracted to pay for that particular service.