Part 1 health plans may pay a physician a per member per

Reference no: EM13381127

Part 1 Health plans may pay a physician a per member, per month (PMPM) capitation payment for each person he or she is responsible for. Capitation is a payment methodology used in the health care industry. The chief financial officer (CFO) has asked you to create a brief summary of information regarding capitation. Gather information for the CFO's upcoming meeting to explain capitation and its relation to your hospital. Research and discuss the following with your colleagues:

• An explanation of capitation

• New trends in capitation payments over the last few years (at least 4)

• Whether capitation is effective or efficient (and why)

• The pros and con of working with capitation

Please cite reference Part 2 In health care, services are most likely to be provided before a payment has been received, so it is imperative for health care providers to establish a reimbursement system that fits their individualized operational needs. In a 3-4-page paper, identify the pros and cons of the following reimbursement methods:

• Prospective-payment systems

• Cost-reimbursement systems

• Discounted-charge systems

• Flat-rate reimbursement system

You should consider the following questions in your comparison analysis:

• When is each reimbursement system considered the preferred method?

What types of providers use each system?

• When would be a time or situation when each would be used?

• How does each reimbursement system affect the various departments of health care companies and providers?

• Will choosing one system over another affect available funding sources?

• What other areas/people may be affected by the decision? Please cite reference

Reference no: EM13381127

Questions Cloud

1 you hold 10000 eib7 14022015interest rates are flat at 6 : 1. you hold 10000 eib7 14.02.2015.interest rates are flat at 6. calculate the price of the bond.2. cupid plc has a

Jetblue airways ipo valuation questions1 what are the : jetblue airways ipo valuation questions1. what are the advantages and disadvantages of going public?2. what different

Using theoretical and empirical evidence and relevant : using theoretical and empirical evidence and relevant examples critically discuss how the following factors would

Cash budget graded practice problemthe owner of lazy inn : cash budget graded practice problemthe owner of lazy inn has been requested by first national bank to submit a cash

Part 1 health plans may pay a physician a per member per : part 1 health plans may pay a physician a per member per month pmpm capitation payment for each person he or she is

Identify a company it may be your own identify the : identify a company. it may be your own. identify the corporate culture. is there a compelling case for culture change?

Table gives abbreviated balance sheets and income : table gives abbreviated balance sheets and income statements for estee lauder companies.tableend of

Here is a forecast of sales by national bromide for the : here is a forecast of sales by national bromide for the first four months of 2010 figures in

In the hope of high returns venture capitalists provide : in the hope of high returns venture capitalists provide funds to finance new start up companies. however potential

User Account

All Pages