Question

Describe the various payment systems for healthcare services since Post World War II. Identify each one, briefly describe the system, then compare each payment protocol. Finally, identify the system of payment you believe would work the best in our current healthcare environment. Provide rationale citing references to justify your selection. needing answer for the United States history please

Answer 1

VARIOUS PAYMENT SYSTEM IN US:

Payment model where providers receive negotiated or prayer specified payment rate for every unit of service they delivery without regard to quality , outcomes,efficiency.

The six most common values based payment model------

1. Medicare quality incentive programs
2. Pay for performance
3. Accountable care organization
4. Bundled payment
5. Patient centered medical home
6. Payment for coordination

EXPLAIN ABOUT ONE :

The medicaid electronic health record incentive program provide incentive payments for medicaid eligible professions who adopt,implement and upgrade.

The CMS quality programs address care provided across the care continuum and encourage improvement of quality through use of payment incentive ,payment reduction,and quality improvement activities while also increase transparency through expanded public reporting of performance result.

COMPARE EACH SYSTEM:

1. BUNDLED PAYMENT---

In bundled payments model providers and/or healthcare facilities are paid a single payment for all the services performed to treat a patient undergoing specific episode of care.

2. PAY FOR PERFORMANCE----

Pay for performance refers to a pay strategy where evaluation of individual/organizational performance have significant influence on amount of payment increase given to each employee appropriateness.

3. ACCOUNTABLE CARE ORGANIZATION--

Accountable care organization in the united states are formed from a group of coordinated health care practitioners . They use alternative payment models normally capitation. The organization is accountable to patient and third party payers or the quality of the health care provider.

WHICH ONE IS BEST:

In my view pay for performance is best . In this system payment is done based on individual performance in medical care setting.

It is best because it is encourage to works of medical care setting of each individual employee or health worker.