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Pages:
1 page/β‰ˆ275 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 5.83
Topic:

Shift in Reimbursement by Centers for Medicare and Medicaid Services

Coursework Instructions:

The Centers for Medicare and Medicaid Services (CMS) implemented a new approach to reimbursement starting in 2011 called value-based purchasing. The goal was to reduce the amount of CMS payments overall and to tie patient satisfaction and quality goals to reimbursement. Has this shift in reimbursement strategy been successful? Why or why not?
Health care organizations must opt in to accept payment from Medicare and Medicaid, and payment from private insurance companies usually requires a negotiated contract, with reduced reimbursement rates. What is the reimbursement strategy for your own organization? If this information isn’t available to you, research and explain 2 different reimbursement strategies.

Coursework Sample Content Preview:

Week Four Discussion
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Week Four Discussion
The shift in reimbursement by the Centers for Medicare and Medicaid services has largely been successful. There are several reasons for this phenomenon. First, the shift has made healthcare more accountable for the quality of care they provide to patients. Generally, more quality care has been precipitated by the shift. Secondly, there has been increased satisfaction with insurance policies of the CMS. The value created in improved patient outcomes and consequent compensation of healthcare workers has increased satisfaction with the insurance policy. Thirdly, the shift has enabled healthcare workers to be engaged in a competitive market (Berchick et al., 2019). As a result, each health care worker tries to be the best that they can to provide high-quality services. The result is an increase in the quali...
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