What are the specific incentives and the risks

Reference no: EM133541467

Assignment: Paying for Hospital and Physician Services

Using the information in the required readings, as well as some additional research in peer-reviewed sources, complete your SLP assignment by answering the following:

Question A. What are the specific reimbursement methods used by each of the major third-party payers?

Question B. What are the specific incentives and the risks for the providers under the various payment types?

Question C. What are the differences between insurance-negotiated rates and the private pay fees charged to uninsured patients for health care services? Is there a difference, and if so, how much is it? Provide an example of what is charged for one specific service (appointment, test, etc.).

• Kaiser Family Foundation. (2019). Paying a visit to the doctor: Current financial protections for Medicare patients when receiving physician services.

• Medicare Payment Advisory Commission. (2016). Physician and other health professionals payment system.

Reference no: EM133541467

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