Deliverable 02 – Financing and Reimbursement Models

Deliverable 02 – Financing and Reimbursement Models

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Competency

Evaluate the current financing and reimbursement models within the U.S. healthcare delivery system.

Scenario

The Titusville Medical Center, a mid-sized, 300 bed, not-for profit hospital, has hired you as an expert consultant for healthcare financing. They have requested an executive summary that explains to their senior leadership (administrators and medical staff) the current financing and reimbursement models within the U. S. healthcare delivery system. Titusville is on the verge of buying either Jackson or Abigail Hospital and must understand financing and reimbursement models in order to know the best acquisition to consider.

Jackson Hospital is a 300 bed, not-for-profit, serving an urban, low-income population. Accepts all government payer types and most private insurances. Specialty populations served include hospice, rehabilitation, wound care, cancer care, and hospital-based imaging center.

Abagail Hospital is a 400 bed, for profit serving an urban, middle-income population. Accepts all government payer types and most private insurances. Specialty populations served include psychiatric, rehabilitation, and cancer care.

Instructions

Compose an executive summary that provides an in-depth analysis of the changing dynamics of healthcare reimbursement and the associated funding sources. Your executive summary should include an examination of the current financing and reimbursement models within the U.S. healthcare delivery system in order to help the merger committee decide whether to acquire either Abigail or Jackson Hospital. Among the most common reimbursement models are capitation, Pay-for- Performance (P4P), bundled payments, Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMH), Fee-for-Service (FFS), Shared Savings, and Shared Risks.

Be sure that the executive summary includes eight types of healthcare payment models (of at least two paragraphs each) as well as a title and reference page.

For each model, include a description of:

  • The incentive(s) and drawback(s) for healthcare providers using the model
  • The incentive(s) and drawback(s) for patients who have providers using the model
  • Required quality metrics or performance measures for applicable model

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

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