Description
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. 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.
Explanation & Answer
Attached. Please let me know if you have any questions or need revisions.
1
Reimbursements
Name
Institution
Date
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Reimbursements
Introduction
Reimbursement can be defined as an act of repaying an individual who has depleted or
lost money; on the other hand, the healthcare reimbursement models are clearing off systems by
which the healthcare firms get paid for the services they have provided to patients, be it by
insurance payers or by the patients themselves (Anell et al., 2018). The reimbursement models
can be classified as either traditional or new/emerging models.
The following are the traditional models of reimbursements;
Fee for service (FFS); is the most used traditional payment model of the healthcare
system. In this model, the healthcare providers and medical practitioners in the healthcare
systems are repaid according to the number of services they provide or the plan of action they
have conducted (Harrington, 2019). Compensation in the fee for service model is not packaged.
Meaning that the insurer or the state agencies are billed for every test, procedure, and treatment
provided every time they visit the doctor, seek consultation, or even be hospitalized. This
payment model compensates the health care specialists for the amount and quantity of services
they have provide...
