Discuss the advantage and disadvantage of the following hospital payment systems on cost containment and provider behavior:

Prompt 1: Using Tuckman’s Stages of Group Development (p. 274), describe a time when you joined a group for work, sports, or school. Did your group follow these stages of group development? Now that you know about Tuckman’s stages, does this information help you better understand the process your group went through? Prompt 2: Using the models for decision-making in Chapter 12 as a guide, identify a time when you used a particular model to make an important decision. Did you accidentally (or purposefully) used a decision-making bias? Were you satisfied with the outcome of your decision?
March 25, 2020
Nursing position in a hospital or healthcare facility with the potential for professional growth and advancement.
March 25, 2020

Discuss the advantage and disadvantage of the following hospital payment systems on cost containment and provider behavior:

Discuss the advantage and disadvantage of the following hospital payment systems on cost containment and provider behavior:

• Fee-for-service
• Per diem
• The DRG-based payment system (i.e., Medicare’s Inpatient Prospective Payment System)
• Capitation
SLP Assignment Expectations:
• Cite all sources and provide a reference list at the end of the paper.

REFERENCE/ INFO

Medicare Payment Advisory Commission. (2010). Medicare Payment Basics: Hospital Acute Inpatient Services Payment System. Available at http://www.medpac.gov/documents/MedPAC_Payment_Basics_10_hospital.pdf (Retrieved 11/21/2012)

Medicare Payment Advisory Commission. (2010). Medicare Payment Basics: Outpatient Hospital Services Payment System. Available at http://www.medpac.gov/documents/MedPAC_Payment_Basics_10_OPD.pdf (Retrieved 11/21/2012)

Centers for Medicare and Medicaid. (2010). Hospital Outpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at http://www.cms.gov/MLNProducts/downloads/HospitalOutpaysysfctsht.pdf (Retrieved 11/21/2012)

Centers for Medicare and Medicaid. (2009). Acute Care Hospital Inpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf (Retrieved 11/21/2012)

Office for Oregon Health Policy and Research. (2008). Healthcare Payment Reform & Provider Reimbursement: A Summary of Strategies for Consideration by the Oregon Health Fund Board. Available at http://www.oregon.gov/OHPPR/HFB/Delivery/Payment_Reform_Provider_Reimbursement_Paper.pdf?ga=t (Retrieved 11/21/2012)


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