Reference no: EM133803062

Question

There are several risk-bearing payment models that Corazon y Alma should potentially consider based on the prior analysis from the population needs' assessment and variance analysis. The first payment model is Episode of Care Payment. Episode of Care Payment, also known as a bundle payment, involves providing a single payment for all services needed during a specific treatment episode. It encourages providers to manage resources efficiently to stay within the payment, incentivizes collaboration among different healthcare providers involved in the patients care, and focuses on the overall quality and outcomes of the care episode (Miller, 2009). The second payment model is a Comprehensive Care Payment, also knows as a Condition-Adjusted Capitation, which provides a fixed payment per patient adjusted for the patient's health condition. It covers all care needed by the patient over a specific period, incentivizing providers to deliver efficient, high-quality care tailored to the patient's needs (Miller, 2009). The third model is Managed Care Organizations (MCOs) which receive a fixed permember-per-month (PMPM) payment to manage and coordinate care for Medicaid beneficiaries. MCOs have a strong incentive to manage care efficiently and reduce unnecessary expenditure, emphasize coordination of care across different providers and services, and include a wide arrange.