Introduction to Healthcare Delivery Systems
Topic: HSA5100CBE Section 01CBE Introduction to Healthcare Delivery Systems
Details: 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
Write an executive summary that provides an in-depth analysis of the changing dynamics of healthcare reimbursement and the associated funding sources. Achieve the creation of this summary by evaluating 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.
Be sure that the executive summary includes the eight basic 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 models
Grading Rubric
Each of the eight types of healthcare payment models include thoughtful descriptions with multiple supporting examples of the following:
• The incentive(s) and drawback(s) for healthcare providers in 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
Executive summary includes all eight of the basic types of healthcare payment models and offers comprehensive description.
Solution Preview
Introduction
Healthcare financing refers to how people acquire and pay for their health care in the United States. In the United States, their health care system is a mixture of both private and public insurance. The U.S government provides it citizens with insurance coverage via Medicare for the elderly, Medicaid for low-income persona, and Veteran’s administration for the military veterans. Despite these insurances, health care costs in the U.S are the most expensive in the world.
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