Reference no: EM133484914

Assignment:

1. Discussions about healthcare reform often refer to the "Triple Aim" of healthcare, a framework developed by the Institute for Healthcare Improvement in 2007. This approach has since been upgraded to the "Quadruple Aim." Using a scholarly source, research this framework and explain what it means. Discuss how the objectives of Quadruple Aim relates to physical therapy professional.

2. Describe rehabilitative and habilitative services covered under essential health benefits. Provide an example of each from your current clinical setting Outpatient. capitated payment, Multiple Procedure Payment Reduction.

3. Explain the "volume vs. value" concept in healthcare.

4. Explain 2 specific ways in which the "value vs. volume" concept could be implemented in outpatient physical therapy services.

5. In an attempt to move physical therapy towards value-based care, the Centers for Medicare & Medicaid Services (CMS) have instituted a Merit-based Incentive Payment System (MIPS). This payment system has been in effect for physicians and some nursing specialists for several years. It is likely that MIPS will eventually affect all clinicians, even those who do not see Medicare/Medicaid patients, because commercial payers often emulate payment models implemented by CMS.

Please address the following items with regards to MIPS:

a. Explain MIPS.

b. Identify two "pros" and two "cons" of MIPS.

c. Do employer should opt to participate in MIPS? Why or why not?