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Posted: May 11th, 2022
Week 2.1 nr 533 | Nursing assignment help – Essay example
Week 2: Quantity-Based mostly Versus Worth-Based mostly Reimbursement
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Fashions of fee to healthcare organizations have begun to shift from paying for quantity (payment for service) to paying for worth (high quality). Utilizing a Venn Diagram, evaluate volume-based versus value-based reimbursement. Be certain the overlapping space accommodates the commonalities between the 2 programs.Use the editable template for the Venn Diagram, which is on the market for obtain above. This template (along with your findings) will have to be posted as an attachment in your dialogue put up alongside along with your written immediate.
Think about Jim, who’s 69 years outdated and involves your Emergency Division (ED) with extreme belly ache. His analysis, moreover a bodily examination, contains an belly ultrasound, a CT scan with and with out distinction, a number of lab research, all result in his having an emergency appendectomy. Apart from having Sort II diabetes effectively managed on food regimen and train, he’s in in any other case good well being. Jim is handled as an outpatient and is discharged house the following morning. Two weeks later he returns to the ED with fever, continued belly ache, and a surgical web site an infection. He’s admitted and is handled for five days earlier than being despatched house.
Utilizing your findings out of your comparability of volume- versus value-based reimbursements, analyze the state of affairs. Decide how the hospital might cost and be reimbursed utilizing the 2 strategies. On this case, which might be higher for the hospital? How do every of those fee fashions contribute to or detract from the purpose of the Triple Intention? Contemplating payer combine, supply programs, inhabitants demographic, and value-based buying of the establishment. How do all of those parts affect the financing of the sort and high quality of care offered at your facility? What are the implications on entry and availability of sorts of care offered by your establishment?
Bear in mind to help your ideas with scholarly sources.
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