Healthcare & Finance :Discussion one

In this discussion,Compare and contrast two methods of reimbursement, describing the advantages and disadvantages of each method. Of the two methods you chose, which do you think provides the best process from a patient perspective?

Types of reimbursement :

Retrospective Reimbursement

In the retrospective payment method of reimbursement, the third-party payer bases reimbursement on the actual resources expended to deliver the services. Since the total amount of resources are not known until after the services are rendered, this is a retrospective, or look-back, methodology. Historically, this was the predominant method of reimbursement.

8In retrospective payment methods, the payer determines the total reimbursement of the health services after the patient has received the services. For example, it is known that the patient will receive preoperative laboratory services, but the actual laboratory services the physician orders and completes for the patient is unknown until after the visit. It could also be the amount of services the patient receives, such as for inpatient admissions. For example, it is known that the patient will be admitted for heart surgery, but the number of days the patient stays in an acute care setting is unknown until the patient is discharged. Examples of retrospective reimbursement methodologies are fee schedule, percent of billed charges, and per diem.

Prospective Reimbursement

Prospective reimbursement is a healthcare payment method in which providers receive a predetermined amount for all the services they provide during a defined timeframe. Within prospective payment methodologies the term episode-of-care refers to the care delivered within a defined period (Belliveau 2016, n.p.). In the prospective payment method, the unit of payment is the encounter, established period of time, or covered life, not each individual health service. The prospective payment method is an attempt to correct perceived faults in the retrospective reimbursement method by incenting providers to provide more cost-effective care for a fixed rate. Thus, the prospective reimbursement method controls costs on a grand or systematic scale.

An episode of care is the health services that a patient receives

•For a specific health condition or illness

•During a period of relatively continuous care from a provider

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Homework Mules
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Thank you very much!! I should definitely pass my class now. I appreciate you!!
Customer 452591, June 18th, 2022
I requested a revision and it was returned in less than 24 hours. Great job!
Customer 452467, November 15th, 2020
Thank you for your help. I made a few minor adjustments to the paper but overall it was good.
Customer 452591, November 11th, 2021
Thank you so much, Reaserch writer. you are so helpfull. I appreciate all the hard works. See you.
Customer 452701, February 12th, 2023
Political science
I like the way it is organized, summarizes the main point, and compare the two articles. Thank you!
Customer 452701, February 12th, 2023
Thank you. I will forward critique once I receive it.
Customer 452467, July 25th, 2020
Business Studies
Great paper thanks!
Customer 452543, January 23rd, 2023
Thank you for your work
Customer 452551, October 22nd, 2021
Political science
Thank you!
Customer 452701, February 12th, 2023
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Show more