DIFFERENT REIMBURSEMENT METHODS THAT ARE USED BY HEALTH CARE PROVIDERS AND ORGANIZATIONS.

/in /by

“The complexity of financing in health care is one of the primary characteristics of medical care delivery in the United States” (Shi & Singh, 2012, p. 129). There are numerous reimbursement methods (e.g., capitation, fee-for-service, package pricing, etc.) that are used by health care organizations and providers to get paid for the health care services that they provide. Building upon your Individual Project from Phase 1, write a 3-5 page paper not including a title page and reference page that contains the following:

  • Summarize 3 different reimbursement methods that are used by health care providers and organizations.
  • Choose which method(s) will work best for the health care facility that you have proposed to be developed, and explain why you chose that method(s).
  • Discuss the pros and cons of the reimbursement method(s) that you chose.
  • Discuss the impact that the method(s) may have on the financial operations of the facility that you chose.

Note: You should include a minimum of 3 references, properly cited in APA format.

Please submit your assignment.

Q2

Chief executive officer (CEO) Beranger wants to know more details about the Health Information Portability and Accountability Act (HIPAA) as she prepares to move the health care organization (HCO) towards a culture of e-Health. She asks that you compose a report of 3–4 pages that includes the following information:

  • Describe the objectives of the HIPAA Security and Privacy Rules
  • Discuss how HIPAA attempts to safeguard protected health information (PHI)
  • Discuss the impact HIPAA has had on HCOs and providers
  • Explain how abiding by HIPAA rules and regulations may challenge the ethics of health care professionals