|Assignment ID Number||AFFGEHU83939HD|
|Type of Document||Essay|
|Number of Pages||10 Pages|
Compensation and reimbursement models are another method of controlling access, cost, and quality in a managed care environment. An MCO doesn’t have direct control over physicians or hospitals but through contractual agreements that set incentives for meeting agreed-upon standards, it can exert influence.
This week, you are required to write an essay on the following topics:
Managed care hospital reimbursement
Managed care provider reimbursement
Using South University Online library (e.g. CINAHL) or the Internet, review at least two articles for each topic and write a review for each source of information. Use the following guidelines for developing your essay:
Write a summary for each topic tying together the information learned about that topic.
Analyze the market forces that would favor using one reimbursement method over another.
Evaluate the key differences between different types of payment methodologies from the provider and hospital point of view.
Evaluate the advantages and disadvantages of the payment methodologies reviewed from the provider and hospital point of view.
Evaluate new payment methodologies resulting from the Patient Protection and Affordable Care Act (PPACA) and discuss future changes in reimbursement methodologies.
Compare and contrast each article to the information discussed in the course textbook.
Based on your understanding, create a 3 page essay
NO PLAGIARSM…….assignmant will be check by TURNITIN…
|Criteria||0 – 1 Points||2 – 3 Point||4 – 5 Points||Total|
|Professional communication||Unprofessional communication; many errors; no APA||Minor grammar, spelling, and APA errors||Postings are professional and in standard written English with APA|
|Complete addressing of assessment criteria||Criteria not fully addressed||Minimal response to criteria; minor aspects missing||All criteria are fully addressed|
|Evidence of critical thinking or extending information||Critical thinking or extending information not evident||Obvious responses to questions; little thought evident||Posts demonstrate critical thinking with evidence base from research or experience|
|Course connections.||No connections provided||Minimal connections provided to readings/activities||Clear connections to readings/activities|
|Submitted an overview / summary of the case selected for analysis. Also identified those procedural steps to be analyzed.||Did not provide an adequate overview or summary of the selected case or failed to identify those steps to be analyzed.||Provides an adequate overview or summary of the selected case and steps to be analyzed though may not be clear or complete.||Case overview is clearly presented including all appropriate investigative steps to be analyzed.|