Payment Systems for Future Healthcare Delivery

Payment Systems for Future Healthcare Delivery

1. Will the shared risk methodology work in the future
health care delivery model?

2. We are continuing our examination of risk contracting and
mitigation. This is an important area in health care as we continue our
struggle to control cost in this country, yet increase the quality and
outcomes. What role does Shared Risk Contracting methodology play in payment
reform? Consider the current challenges of Population Health and the increasing
patient volume and potential increase of High Risk patients entering our health
care delivery system.

3. Based on your knowledge of Accountable Care Organizations
(“ACOs”) offer your recommendation for the type of contracting would
be most suitable. As you consider your recommendation from a 360 degree
perspective, complete a SWOT analysis of your assessment.

4. ACOs are continuing to gain momentum as the model to be
implemented. As health care leaders we will need to gain a better understanding
of this model and how it will impact all parties (payers, providers and other
health care institutions). More importantly we will need to understand the
mechanisms of this model and the reimbursement models associated with ACOs and
their ability to mitigate risk. What contracting methodology will likely be
effective in an ACO environment? How will this methodology mitigate risk to ACO
participants?

5. Much discussion has centered on designing the appropriate
incentives to change provider behavior relative to improving patient care and
outcomes, and thus creating “value”. From your own health care
experience how will pay-for-performance (P4P) impact not only patient care, but
also resulting contract rates?

6. Health care institutions and providers will continue to
face challenges as the US health care delivery systems transform. The
cornerstone of these challenges will involve improving the quality of care,
while creating value. With this transformation a greater emphasis will be
placed on providers to demonstrate their overall clinical performance in caring
for patients (e.g., clinical care models, evidence based medicine and others).
How will pay for performance contracting methodology impact and influence risk
to a health care institution?

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.