History Of Reimbursement Issues
History Of Reimbursement Issues
History of Reimbursement Issues
Purpose
The purpose of this discussion is to explore the DNP-prepared nurse’s role, as a member of the interprofessional team, to design systems that optimize reimbursement with a goal to improve the quality of patient care. We will examine the influence of healthcare reimbursement on nursing practice, clinical outcomes, and cost issues. History Of Reimbursement Issues
Instructions
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Reflect upon your readings and professional experience regarding reimbursement issues and address the following.
- Analyze how healthcare reimbursement influences your nursing practice.
- Examine how the value-based insurance design (VBID) influences clinical outcomes and cost issues.
FROM WEEKEND LECTURE: With the Affordable Care Act, the reimbursement model is shifting to provide incentives for innovating value-based programs, such as the Medicare Value-Based Insurance Design (V-BID) and Bundled Payment programs. The Value-Based Insurance Design is an approach that drives patients and providers to high value services while discouraging low-value services when the benefits do not justify the cost. The goal of V-BID is to decrease the cost of healthcare while increasing the effectiveness of health services. The V-BID approach structures health insurance in a way that incentivizes and drives patients and providers toward the most valuable services—those most beneficial relative to costs. V-BID has the potential to improve service utilization, quality, and outcomes. History Of Reimbursement Issues
*Know that All responses will be Turnitin checked.
Instructions:
Use an APA 7 style and a minimum of 350 words. Provide support from a minimum of at least (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.
• Textbooks are not considered scholarly sources.
• Wikipedia, Wikis, .com website or blogs should not be use
