Essay Available:
Pages:
2 pages/≈550 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 8.64
Topic:
Health Reimbursement Issues
Essay Instructions:
Discusses health reimbursement issues and includes an accurate and detailed explanation of the key aspects of the topic
Provide an in-depth analysis that demonstrates a good understanding of challenges of healthcare reimbursement concepts
Conduct comprehensive research that provides examples of scholarly resources and healthcare sector-specific information that support your analysis
Essay Sample Content Preview:
Healthcare Reimbursement Issues
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Introduction
The healthcare reimbursement process is extremely important because it ensures that healthcare providers are paid appropriately for their services while guaranteeing that patients continue to have access to necessary medical treatment (Takeesha Roland-Jenkins,2024). On the other hand, comprehending and managing the intricate healthcare reimbursement environment can be extremely overwhelming. This essay aims to provide a more in-depth understanding of this critical subject matter by discussing the most essential aspects, issues, and potential solutions for healthcare reimbursement.
Discussion
Healthcare reimbursement is the payment that doctors and hospitals get from patients after they treat them. There are several issues associated with the term. There are various reimbursement models, such as capitation, value-based care, fee-for-service, and bundled payments, which are the most used models. One of the most essential parts of healthcare reimbursement, the fee-for-service (FFS) model, is the most conventional method. Providers receive payments for each given service, including tests, operations, and procedures (Crowther, 2021). Although this paradigm promotes efficiency among providers, some argue that it may promote quantity rather than quality of care. Insured parties in managed care plans like HMOs and PPOs have already negotiated prices with participating doctors and hospitals for various services. Though it promotes efficiency, this paradigm can restrict patients' ability to choose healthcare providers. New thinking in healthcare is value-based remuneration (VBR), which puts more emphasis on treatment quality than the quantity of services rendered (Takeesha Roland-Jenkins, 2024). Providers and patients are incentivized to work together because reimbursement is contingent on treatment outcomes.
Healthcare reimbursement is complicated yet essential to healthcare systems. The stakeholders include healthcare providers, insurers, and government o...
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