Healthcare Reimbursement Healthcare is made up of many factors. Among those factors are provider reimbursement and the different types of financial methods used by the patients to acquire healthcare services. Provider reimbursement is important and necessary in order to maintain the continuation of healthcare. Like every organization, including non-profit organizations, require revenue in order to pay their healthcare providers, expenses accrued, and to obtain the supplies needed to aid in rendering services. With that said, this is why there are many financial methods such as third-party payers, government agencies, private health insurance, and patient payments.
Hospital readmission is used for several purposes, such as cost control or a correcting measure for length of hospital stay or other outcome. In recent years, there is a great interest in the readmission rate as a representative of quality of hospital care. So, hospital readmission can be viewed as a criteria of poor quality care and have been estimated to cost Medicare that avoidable to spending (1). Despite its use by administering for both quality of health care and cost control, however, the validity of readmission rates as a criteria of quality of hospital care is not evident (17).
Notwithstanding Guyana’s status as a low middle income country with total expenditure on health at 5.9% of GDP in 2011 27, the Guyanese healthcare system has had some vital upgrading. Nonetheless, the current institutional structures of the health system and services development in Guyana pose significant challenges requiring meaningful health planning to achieve real health reforms. Several multilateral agencies are on board in Guyana to assist its health sector development reform; these are: Inter-American Development Bank (IDB); World Bank (WB); Global Fund for AIDS, TB, and Malaria (GFATM); Global Alliance for Vaccines Initiative (GAVI); Canadian International Development Agency (CIDA); China; Cuba; European Union (EU); United States Agency for International Development (USAID); Japan’s Development Cooperation Agency (JDCA); Presidential Emergency Program Fund for AIDS Relief (PEPFAR); US Centers for Disease Control and Prevention (CDC); PAHO/WHO, UNICEF,
Health care in many parts of the world is considered a basic right that should be given to people. Access is crucial in order to ensure the efficient delivery of basic health care services. In general, health care systems are organized in order to provide treatment of diagnosed health care problems and these systems are usually government-run, meaning they utilize the people's taxes. Though most of the health care systems differ, they share common goals and outcomes as well as features that identify them with the universal health standards. Since the end of the Second World War, universal health coverage remained a contentious public issue in the United States.
Be sure to do your research and think carefully about the type of healthcare facility that is right for you, as that decision could help determine what degree program is best for you. Health systems management has been described as a "hidden" health profession because of the relatively low-profile role managers take in health systems, in comparison to direct-care professions such as nursing and medicine. However the visibility of the management profession within healthcare has been rising in recent years, due largely to the widespread problems developed countries are having in balancing cost, access, and quality in their hospitals and health systems. The U.S. Bureau of Labor Statistics (BLS) projects a 17% increase in employment of medical and health service managers from 2014 to 2024. This is a faster growth rate than the predicted for the average of all occupations over the same decade.
Name: Professor: Class: Date: How Value Based Healthcare Blends Strategic Planning, Healthcare Marketing and Quality and Strategy in Health Care Marketing Value Based Healthcare The concept of value-based healthcare refers to the restructuring of the various global healthcare systems with the fundamental goal of fostering increased value for the patients (Moriates, Arora, & Shah 5).
It is the job of the APN to apply their skills to promote a culture of excellence. Promoting such a culture involves using all aspects of the quality competency. The Nurse Practitioner is in a unique position as a clinician and manager. According to Carney (2011), clinical managers have the capability to ensure the safe, ethical, and high quality of care due to their professional background, which is firmly grounded in ethical healthcare. Therefore, the APN has a distinct set of skills that will ensure positive patient outcomes.
Mednax uses a proprietary picture achieving together with the communication system in order to facilitate services (Value Line, 1936). The other strength of Mednax is physicians and advanced practitioners practicing as part of the corporate reshaping the delivery of care in its specialties and subspecialties. The fact is that Mednax uses evidence-based tools, continuous quality initiatives as well as clinical research in order to enhance patient outcomes hence providing high quality and cost effective care. Acquisition has furthered broadens the scope of services that the corporation offers to hospital partners. Brand portfolio on the other hand is the major weakness of Mednax Company.
USEFULNESS OF THE CONCEPT TO THE CURRENT WORLD Health care policies refers to decisions, plans and action which are undertaken to achieve specific health care goals within a society (WHO 2011). Implementation of health related policies can be complex especially in developing nation which limited human material and financial resources. The process of policy making decision are made at the national level which includes the funding of the policies which affect the implementation of the policy.
Second, the medical apps endanger the privacy of personal and medical information of the patients. For some people easy access to care is more important and on the contrary, for some privacy is the priority. Health care managers need to reassure that the application of eMedicine will not increase the chances of fraud and misuse of the confidential information. Third, high-cost patients like dual-eligible- both enrolled in Medicare and Medicaid- consume most of the health care resources. Also some patients wait till their health problem reaches emergency situations and their visit to to the emergency department is noticeable.
For example, the implementation of the Patient Protection and Affordable Care Act is two that are significant however, not the only two policy issues that have raised national attention. A question of should the federal and state governments have control of healthcare policy or the question of the policies generally supported by both parties? Healthcare reform was mainly put in place to ban the insurers’ from discrimination against pre-existing conditions, limits on age discrimination, and the elimination of lifetime caps. The health care system in the United States consists of a network of physicians, patients, hospitals, insurers, employers, regulators, and stakeholders.
The quality of health care can be exactly defined and measured with a point of scientific precision equivalent to that of most measures cast-off in clinical medicine. Thoughtful and extensive quality difficulties exist throughout American medicine. These problems, which may be categorized as underuse, overuse, or misuse, happen in minor and large communities alike, in all portions of the country, and with roughly equal frequency in achieved care and fee-for-service systems of care. Huge numbers of Americans are affected as a direct result. The quality of care is the problem, not managed care.
In actuality, rationing has become more ethically complex due wasteful spending of health care resources in the United States. It is hypothesized that control of resource wasting will improve rationing ethics (Brody, 2012). Although, rationing is a controversial concept, without it, other basic components of society would be
As previously described, the United States is the country that spends the most money in health care in the world. For example, just in the year 2008, it spent 16.2 percent of its gross domestic product on health- care (Gaydos 700). Through the population health model, investment and policy decisions in areas such as education, income transfer, civil rights, macroeconomics, employment, welfare, housing, and neighborhoods would have a significant effect on improving a population’s health than increasing the spending on medical services. (Jonas & Kovner 92). Through this model, there might not only be a decrease in what is spent by the country in health care services, but also an improvement in many other areas that would improve the economy of