Question

The Cost of the U.S. Health Care System

• Describe three different reimbursement methods (e.g., capitation, fee-for-service [FFS], pay-for-performance [P4P], value-based, episode of care, prospective reimbursement, diagnosis related group [DRG], patient-centered medical home [PCMH]).
  • Explain why you think one of the reimbursement methods you discussed is more effective at reducing health care costs overall while still ensuring the delivery of quality care.
• Describe the use of two technological advancements (e.g., electronic medical record [EMRs], electronic health records [EHRs], medical research, improved equipment like magnetic resonance imaging [MRI], mammography, personalized medicine, mobile services like e-prescribing, disease registries, ).
  • Explain why you think these advancements have reduced costs overall while still ensuring the delivery of quality care.

Answer 1

Fee for services is a payment model in which doctors, hospitals and medical practices charges separately. for each service ' they perform. In this kind of reimbursement, the patient or insurance company is responsible for paying whatever aniount the healthcare provides Charges for the Services. Pay for performance involves the finanuál reward system. For employees where some or all of their monetary compensation is related to how their performance is assessed relative to Stateď critena. Diagnosis - related group is a kind of system to Classify hospital cases. This includes any of the payment categories that are used to Elastify patients and specially Medicare patients for the purpose of reimbursing hospitals for each case in a given Category with a fixed fee regardleds of the actual costs incurred. T Pay for performance is one of the method which can be considered to be most effective at reducing health care costs overall while still ensuring the delivery of quality care because it basically the charges are compensated according to quality of care that are being provided to the patient.

EHR (electronic Health Record) provides the platform the health care professional to provide quality of care to the patient. It enables to save all the information, medical history and treatment regarding the patients. MRI magnetic resonance imaging is a non- invasive medical test that physician use to dagnose medical conditions. "MRI uses a poweft powerful Magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal bo dy structure.