Reimbursement Methods

The US healthcare system has devised
a number of methods to track the services provided by physicians and others in
the care of individuals needing services. It is important to know and
understand how these methods track care and turn that into revenue. Consider
what you have learned this week and apply it to this assignment.

Tasks:

Briefly describe the major
third-party payers who provide revenue to healthcare providers. Also describe
provider incentives and risks under each of the following reimbursement
methods:

  1. Cost based
  2. Charge based
  3. Per procedure
  4. Per diagnosis
  5. Per diem
  6. Bundled payment
  7. Capitation

Submission Details:

  • Present your analysis as a 2-page report in a Microsoft
    Word document formatted in APA style.
  • On a separate page, cite all sources using APA format
    with in-text citations.

Assignment 3 Grading Criteria

Maximum
Points

Described the major third-party
payers.

10

Described provider incentives and
risks for each method.

30

Wrote in a clear, concise, and
organized manner; demonstrated ethical scholarship in accurate representation
and APA style attribution of sources; displayed accurate spelling, grammar,
and punctuation.

10

Total:

50

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