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Question
The Willows At Ramapo is a for-profit 201-bed mixed facility providing short-term rehab and long-term nursing home services. The facility is located in an upper-middle-class neighborhood in Rockland County, NY. The facility's population is 70% female and 30% male, with a race demographic of 60% Caucasian, 29% African American, 10% Hispanic, and 1% Asian. The payor source for the facility consists of 5.5% managed care, 54.1% Medicare, 9.3% private pay, 28.4% Medicare, and 2,7% HMO. Based on this information, provide an overview of the payer mix, delivery system type, and population demographics.
1. Describe the type of reimbursement system your institution relies on most heavily: value- or volume-based.
2. Describe how these factors influence the financing of the type and quality of care provided at your institution. What are the implications on access and availability of types of care provided at your institution. How is your proposed project affected by the information you've gathered about your facility? What adjustments might you make to your proposal because of the information gathered?
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