Third Party Payers, Incentives and Risks discussion

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Description

Identify 6 major third-party payers who provide revenue to healthcare providers. Analyze at least 2 provider incentives and risks under each of the following reimbursement methods:

  • Cost based
  • Charge based
  • Per procedure
  • Per diagnosis
  • Per diem
  • Bundled payment
  • Capitation
  • Fee for service

cite your sources in your work and provide references for the citations in APA format.

  • Your assignment should be addressed in a 2- to 3-page document.

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Running head: THIRD PARTY PAYERS, INCENTIVES AND RISKS

Third Party Payers, Incentives and Risks
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THIRD PARTY PAYERS, INCENTIVES AND RISKS
Third Party Payers, Incentives and Risks
Healthcare organizations need funds to provide healthcare services needed in the
organization. Patients are sometimes needed to carry heavy financial burdens for the services
provided. Health care providers include pharmacists, nurse practitioners, dieticians, hospitals and
all others who care for patients. These providers need revenue in their system to be able to
provide patients with the proper services. Third-party payers assist in providing revenue to the
healthcare system so that services can be provided efficiently and the healthcare organizations
can run smoothly (Casto and Forrestal, 2013). Examples of third-party payers include Medicaid,
Medicare, Tricare, Health Maintenance Organizations (HMOs), commercial insurers a...


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