Description
HCAD 640 Assignment 1: Reimbursement
You are the associate vice president for education and training for OtroRaza Health, the academic medical center and health system associated with Enormous State School of Medicine (ESSM). The vice president of medical affairs comes to you concerned about the viability of the school’s residency programs. Several of ESSM’s residency site stakeholders are seeking clarification regarding new reimbursement models being used by the system. Prepare a white paper – for the VP of Medical Affairs to share with the residency sites -- outlining the differences between the new reimbursement models and prior, traditional models for stakeholders.
In your response, include the following:
- Description of each model, such as capitated payments, fee-for-service, including new and emerging models being introduced to the industry, such as value-based, MACRA, and others.
- In your review, compare and contrast the traditional and new models and explain the motivation / reasons for the emerging models. Finally, based on this evidence, describe what impact (if any) you perceive there would be on the cost, quality and access to patient care. Support your research with peer-reviewed sources and/or market data. use current reference sources, those published in the last 3-5 years. The use of professional charts / graphs to reinforce written content is encouraged. Ensure that your content and information is professional and can be followed by an executive audience.
Several example white paper formats can be viewed at: https://venngage.com/templates/. A free downloadable sample white paper can be found at: https://www.microsoft.com/en-us/download/details.aspx?id=17731.
Note: your product does not need to be this robust, but should follow the same basic framework.
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Explanation & Answer
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Reimbursement
Enormous State School of Medicine (ESSM).
Reimbursement Models
White Paper
Date: September 2020
1
REIMBURSEMENT MODELS
SEPTEMBER 2020
Vice President, Medical Affairs
Reimbursement Models
Prepared for
Vice President, Medical affairs
August 2020
Prepared by
Vice president, OtroRaza Health
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SEPTEMBER 2020
REIMBURSEMENT MODELS
Table of Contents
Executive Summary .................................................................................. 4
REIMBURSEMENT MODELS......................................................................... 4
Capitated payments ............................................................................... 4
Fee-for-service ...................................................................................... 4
New and emerging models ...................................................................... 5
Comparison and contrast between traditional and new models ....................... 6
References ............................................................................................... 7
3
REIMBURSEMENT MODELS
SEPTEMBER 2020
Executive Summary
There are traditional models of reimbursement in healthcare, such as the fee for
service and capitated payments. The traditional models usually focus more on the
quantity of care. There are also new and emerging models, such as the MACRA
and value-based approach. A comparison and contrast of the traditional and new
and emerging models indicate that the new ...
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