Question

In: Nursing

Why is understanding the financial risk involved with a payment method important to providers? To insurance...

Why is understanding the financial risk involved with a payment method important to providers? To insurance companies?

Solutions

Expert Solution

Financial risks in healthcare and understanding it is pertinent for the helathcare provider organizing to survive and thrive to maintain financial viability and profitable to provide best possible treatment and care. The payment risk related to the reimbursement and theoay structure associates is critical to maintain clear fincial flow and meeting the financial requirements of the organization while providing the services. Payment methodology and understanding it's implications is important for the functioning of the organization, additional of the resources, equipment addition and maintenance, salaries and all expenses. When the payment method is newly introduced and not clearly understood it can seriously impact the financial functioning and overall growth of the organization.

The insurance provider also need to understand the financial risks so as to remain updated on the new payment methods and design the insurance coverage and policies so as to provide maximum benefit for the customers. The other important aspect to study finacial risks is to keep close attention towards the reimbursement and insurnace claims that the insurers have to disburse. So the viability and insurance coverage opportunities have to be studied and understood so as to eliminate financial risk and associated problems from payment methods.


Related Solutions

Why might providers needing to bear financial risk in value-based payment models lead to more mergers...
Why might providers needing to bear financial risk in value-based payment models lead to more mergers among provider organizations?
In your opining and understanding related with Insurance Accounting where risk plays a very important factor....
In your opining and understanding related with Insurance Accounting where risk plays a very important factor. What are the five steps when carrying out to work place Risk Assessment? How do you assess the risk assessment related with the health and safety point of view?
Explain why we need payment reform. What do we call the traditional method for paying providers...
Explain why we need payment reform. What do we call the traditional method for paying providers retrospectively and how did that work? What do we call the newer method for paying providers that happens prospectively and how does that work? How do these payment systems create different incentives for providers? What other new payment models are being tested to see if they can improve health care outcomes?
What is risk rating? Why is it important? What’s the impact on the insurance market?
What is risk rating? Why is it important? What’s the impact on the insurance market?
What is insurance and why it is important? Identify the steps in the risk management process....
What is insurance and why it is important? Identify the steps in the risk management process. Name and describe the 3 hazards. Please reply substantively to at least two students' posts.
Describe risk-return tradeoff and why it is important to financial managers.
Describe risk-return tradeoff and why it is important to financial managers.
why is understanding quantities and units important
why is understanding quantities and units important
Discuss the role that insurance plays in the financial planning process. Why is it important to...
Discuss the role that insurance plays in the financial planning process. Why is it important to have enough life insurance? Using this statement and this question and other details easily found in the textbook, and your own experience to participate with your response using at least 150 words.
Why is understanding stock valuation so important for businesses? Explain at least one method used and...
Why is understanding stock valuation so important for businesses? Explain at least one method used and the pro’s as well as the con’s of the valuation. What role would the valuation play in an acquisition analysis?
Why are financial institutions and markets' governance, regulations, and risk, so important?
Why are financial institutions and markets' governance, regulations, and risk, so important?
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT