Payment Methods:
There are various reimbursement methods including fee-for-service and capitation payment methods. The fee-for-service reimbursement method is a system through which doctors and other employees are paid depending on the number and type of services offered to the patient. Under this method a particular fixed or variable price is established for every service provided based on an agreement to a schedule of rates for a specific time-period. On the contrary, capitation reimbursement method is a system through which health care providers receive a fee for every enrollee for a particular level of health care. The fee under this method also covers an identified package of services within a defined period of time. These enrollees in capitation system vary from residents of a particular region to people who are chosen depending on a certain criteria (Chawla et. al., 1997).
As evident in this description, there are significant difference between fee-for-service reimbursement method and capitation reimbursement method. The main difference between these two systems is centered on the method of payment...
Reimbursement and Pay-For-Performance Pay-for-performance This entails day-to-day programs designed to offer monetary incentives to health care providers and physicians to meet efficiency, quality and other defined targets. Pay-for-performance entails Agency for health care and quality, which defined as improved strategies in health care delivery, which majorly relies on the use of purchase power or the market power (Heywood, 2002). They referred as proper a financial incentive that heavily rewards service providers for
Third-Party Payment Systems: a) Healthcare System Reimbursement: Evaluate third-party payer models for the impacts they present on healthcare system reimbursement. Third-party payer models currently have a tremendous impact on the healthcare reimbursement system. The most considerable of these is the diverse forms in which they cause reimbursement to manifest. The vast majority of patients involved in the healthcare system utilize third-party payer models in the form of healthcare insurance. Insurance companies are
The second main type of physician reimbursement is payment per case treated. This provides a strong incentive for physicians to provide FEWER services, given that the physician receives compensation on per-case basis, and pockets any leftover funds as profits not devoted to patient care. It substantially incentives physicians accepting healthier patients with less expensive medical conditions (Jacobs & Rapoport 2002: 150). However, for this reason and the lack of monitoring
Prospective Payment System and how that system has impacted the nursing home industry. The writer explores how the system operates and explains its necessary elements. The writer than discusses the impact and significant elements that the system has on the nursing home industry. There were 10 sources used to complete this paper. One of the most pressing concerns facing the nation today is the health care system. The medical community
Total Compensation Methods and Benefits Programs Impact on employees and organizations Salary and benefit administration strategies Relationship with organizational culture and performance Total compensation methods used by the organizations are different in terms of their design and approach. The main objective of the compensation programs developed in organizations is to facilitate employee motivation and provide a cost effective reward system that is beneficial for both employees as well as the business. The business objectives,
Paying workers according to their performance is controversial in some fields, but accepted in other fields, such as sales. The types of bonuses offered to employees in some professions, from sales to investment banking, are another aspect of 'total compensation' that might affect an employee's decision to remain at a company. Some bonuses might be traditional 'lump sum' payments while others might take the form of smaller bonuses, paid upon
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