Discuss current funding sources (e.g., PACE, TRICARE, SCHIP, Medicare, Medicaid, private insurance) and mechanisms (e.g., DRG, Cost-Plus, ICD-10) of healthcare financing and their importance. In transitioning to value-based care or value-based reimbursement what are the most significant challenges to providers and payors?
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- give a brief description of cyberattack program plan in healthcare that includes its objectives, ethical, and legal considerationsWhat is social determinants of health to diminish disparities and inequities in access to quality healthcare and its relevance in healthcare practice?Medicare ACOs and bundled payment programs/strategies rely on the use which of the following organizational structures: Question options: 1) Vertical Integration 2) Horizontal Integration 3) Physician Alignment 4) Vertical Integration and Physician Alignment 5) Horizontal Integration and Physician Alignment
- 11What does the article suggests about healthcare reimbursement Britton J. R. (2015). Healthcare Reimbursement and Quality Improvement: Integration Using the Electronic Medical Record Comment on "Fee-for-Service Payment--an Evil Practice That Must Be Stamped Out?". International journal of health policy and management, 4(8), 549–551. https://doi.org/10.15171/ijhpm.2015.93Describe the differences between the federal Medicare program and the Medicaid program in massachussetts and how they impact financial reimbursement from the perspective of the healthcare system
- Explain why medicare for all trend is an important trend to monitor and how it relates to reimbursement in healthcareExplain the relationship between meaningful use and health care reimbursement; in particular the influence meaningful use has had on transforming how physicians and organizations are reimbursed by the Centers for Medicare & Medicaid Services (CMS).This question deals with Health Information Management professionals Identify the types or categories of revenue and expenses that would be required in a release of information function within a hospital or clinic. What assumptions are necessary before starting?
- Why is there the issue of linking people with needed personal health services and ensuring the provision of health care when otherwise unavailable. What are possible solutions that can help the issue of linking people with needed personal health services and ensuring the provision of health care when otherwise unavailable?Describe the projected financial impact the Affordable Care Act (ACA) will have on Medicare spending. Identify the projected financial impact(s) on how the ACA will affect Medicare spending. Be specific on how those impact(s) are projected to change health care and its delivery.You attended an in-service education program about the outpatient prospective payment system (OPPS) where you learned that certain Medicare Part B services are paid according to ambulatory payment classifications (APCS), which group services according to similar clinical characteristics and in terms of resources required. A payment rate is established for each APC and, depending on services provided, hospitals may be paid for more than one APC for a patient encounter. As part of the in-service, you are provided with the following information and required to answer each question by applying the formula to calculate APC payments. Outpatient Prospective Payment System (OPPS) Formula (APC Weight x Conversion Factor x Wage Index) + Add-On Payments = Payment NOTE: When a patient undergoes multiple procedures and services on the same day, multiple APCS are generated and payments are added together. APC software automatically discounts multiple APC payments when appropriate (e.g., bilateral…