HSM 544 Financing Healthcare Week 2 Discussions 1

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HSM 544 Financing Healthcare Week 2 Discussions 1
Discuss the role of all parties (patient, providers, and payers) to contain costs. What is…

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HSM 544 Financing Healthcare Week 2 Discussions 1

HSM 544 Financing Healthcare Week 2 Discussions 1

Discuss the role of all parties (patient, providers, and payers) to contain costs. What is the impact of cost-containment efforts on the rising cost of healthcare?  Coding is an important and complex process. Government audits (RAC) can reveal a certain upcoding (overcharging) that might take place, which would unnecessarily increase the cost of healthcare.

For the class, what can cause this to occur? How can it prevented?  There are some approaches and models that have proven to be successful in containing costs.  For the class, what are examples of such models and what has made them successful?  There is concern that despite the high percentage of healthcare costs in the US, there is not enough of a national will to control these costs.

For the class, do you think this is the case? Are healthcare costs a high enough priority in this country?  How has managed care changed the dynamic? How has it shifted risks of losses among the major players in healthcare?…