Question

Interview Question for Montefiore Hospital:

• How does financing and reimbursement affect delivery of care?

• How does reimbursement differ in the delivery of outpatient vs inpatient care?

• How do Managed Care and Integrated Systems impact the cost, access, and quality of health care delivery?

• How has Legislative Health Policy impacted the delivery of care?

• What is the future of health services delivery?

Answer 1

1)Health insurance affect health care delivery in the us that it makes providers less aware of the actual cost of health care it creates provider induced demand, this financing greatly influences how much health care is delivered. 2)Reimbursement varies most significantly by insurance company, more insurance compaines do reimburse inpatient and outpatient serrves very differently, but some smaller insurance companies may reimburse according to simple criteria, medicares inpatient prospective payment system reimburses a weighted fee schedule of rates by diagnosis related group based upon the average cost of cost across the mations providerrs for that particular set of health issues, and medicare outpatient reimbursement fits into one of two scenarios that is clinic( a freestanding primary ) and hospital( procedures performed wither at the hospital or at a clinis located within 35 miles of the hospital that own and operate the clinic) there reimbursed accordingly to the ambulatory payement classification. 3)Managed care and integrated systems has positive impact on the cost and access and quality of health care delivery. 4) Legislative health policy impacted the delivery of care:the health care delivery system continue to evolve by the market forces, and as do legal and regulatory changes resulting from health reform leggislation. 5)The future of health service delivery: insurances drop individual plans because they do not comply with some of the mandates and employers cope by reducing worker hours and negotiating new health plans and the us healthcare system will continue to evolve but no one knows the destiny.