Question

• Give examples of types of care delivery services incentivized by volume-based, alternative payment models.

Answer 1

Alternative payment model (APM), is a payment approach that gives added incentive payments to provide high- quality and cost- efficient care. APMs can apply to a specific clinical conditions, a care episode or a population.

Examples of APA models in Medicaid are:

- Patient-centered medical homes

- Medicaid health home.

-Bundled payments

- ACOs.

Volume based care refers to the payment a health care provider receives for services a patient might need. All incentives were driving health care providers to worry about the number of patients cared for rather than the value provided. Those who measured success rate were primarily focused on profits when compared to the cost of each service. This placed an added focus on speed, which might cause some health care providers to speed through patients.

The type of service and quality of service does not really make a difference in the amount a provider might receive. This volume based care in a nutshell, which is sometimes referred to as a fee for service care.

Examples of care delivery services or systems are, a facility or organization that provides health care services. Hospital, long-term care facilities, medical offices and laboratories are all examples of care delivery system.