Essay Available:
page:
2 pages/≈550 words
Sources:
4
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 11.66
Topic:
PAYING FOR HOSPITAL AND PHYSICIAN SERVICES
Coursework Instructions:
PAYING FOR HOSPITAL AND PHYSICIAN SERVICES
Using the information in the required readings, as well as some additional research in peer-reviewed sources, complete your SLP assignment by answering the following:
What are the specific reimbursement methods used by each of the major third-party payers?
What are the specific incentives and the risks for the providers under the various payment types?
What are the differences between insurance-negotiated rates and the private pay fees charged to uninsured patients for health care services? Is there a difference, and if so, how much is it? Provide an example of what is charged for one specific service (appointment, test, etc.).
SLP Assignment Expectations
Conduct additional research to gather sufficient information to support your analysis.
Provide a response of 3-5 pages, not including title page and references
As we have multiple required items to be addressed herein, please use subheadings to show where you’re responding to each required item and to ensure that none are omitted.
Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals:
Angelo State University Library. (n.d.).Library Guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www(dot)angelo(dot)edu/services/library/handouts/peerrev.php
You may use the following source to assist in formatting your assignment:
Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl(dot)english(dot)purdue(dot)edu/owl/resource/560/01/
For additional information on reliability of sources, review the following source:
Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www(dot)library(dot)georgetown(dot)edu/tutorials/research-guides/evaluating-internet-content
Coursework Sample Content Preview:
Title
Your Name
Subject and Section
Professor’s Name
Date
The payment system for hospitals and physicians has a significant impact on both patients and healthcare providers. It is critical to understand that the payment process is complex. There are third parties involved, and they employ a variety of payment mechanisms, which complicates matters (Fainman & Kucukyazici, 2020; Patel et al., 2023). This paper discusses the intricacies that come along with the payment system for hospitals and physicians. In addition, this paper differentiates insurance-negotiated rates and private pay fees. Knowledge of these issues will assist healthcare providers and patients alike.
Reimbursement Methods and their Incentives and Risks
Here are some reimbursement methods, along with their incentives and risks:
* Fee-for-Service (FFS) reimburses providers depending on the quantity of services supplied. Each service has a set charge, and providers bill for each service delivered. Providers are motivated to expand their offerings in order to increase income. However, this may result in overutilization and fragmented treatment (Fainman & Kucukyazici, 2020; Wei et al., 2023).
* Capitation refers to providers receiving a fixed sum per patient per unit of time, regardless of the services provided. It promotes preventative healthcare and cost-effective approaches. Providers are driven to manage patient health effectively and efficiently because they share the financial risk of surpassing costs. Providers may be at risk if the actual cost of service exceeds the capitation payment (Fainman & Kucukyazici, 2020).
* Bundled Payments provide providers with a single payment for a...
Get the Whole Paper!
Not exactly what you need?
Do you need a custom essay? Order right now:
👀 Other Visitors are Viewing These APA Essay Samples:
-
Interview
4 pages/≈1100 words | 4 Sources | APA | Health, Medicine, Nursing | Coursework |
-
MHA 570 SLP Module 1 HEALTH CARE LEADERSHIP
3 pages/≈825 words | 4 Sources | APA | Health, Medicine, Nursing | Coursework |
-
MHA 570 Case module 1 HEALTH CARE LEADERSHIP
3 pages/≈825 words | 4 Sources | APA | Health, Medicine, Nursing | Coursework |