Question

answer the following question

1 what are the six homes Health PPS means features

2 describe the element of community benefit listed by the key policy groups

3 what are basic method of payment for healthcare firms

4 what are the general factors that will influence price in regard of Market structures

5what are the key element to be successful a major philanthropic program

7 what are the five Keys characteristics offer long-term debit financing

Answer 1

Healthcare Prospective Payment System (PPS): These are the payment system which releases the reimbursements based on the predetermined and fix amount for the healthcare services/events. Thus in this case the payment amounts are fixed and based on the type of health services. These are pre-determined charges for the health services. This helps the proper care for the patients and avoid the over usage of the health services by the healthcare organizations. The Medicare Prospective Payment System (PPS) is basically benefits the patients and helps in providing quick health services to patients, as the healthcare organization is aware that the rates are fixed and agreed and they can easily plan for execution of the services so that they can provide the required services to patients and generates the revenue for the healthcare organization.    

Six Home Health PPS (HHPPS) means features are as below

• Payment for the 60 day episode: The payment will be under the episode of 60 day of care for the patient/beneficiary. The beneficiary may initiate another 60 day episode of care for the longer duration of care for the patients.
• Adjustment of payment based on the condition and needs of the beneficiary: This is the feature that helps in adjustment of payment which is suitable to the condition and need of the beneficiary. Thus provides the flexibility for the beneficiary.
• Outlier payments – This is the feature of providing higher pays for the care of the costliest patients / beneficiary. Thus supports the case as per needs.   
• Adjustments for the beneficiary who needs few visits during 60 days episode: This features support that the payment of care is adjusted for the beneficiary who needs lower visits in their episode of 60days, so that is should not happen that few visit beneficiary gives the larger payment for their small care.
• Adjustments for the beneficiary who changes HHAs or readmitted within 60 days episode: This is the feature which supports the beneficiary who left HHPPS or who readmitted within the episode of 60 days for the care at the station.
• Consolidating billing for the beneficiary: The feature provides the consolidating the bill for the beneficiary so that he can make single bill for thir care being supported at the care station.