HSM410 Financing Changing Healthcare System

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HSM410 Financing Changing Healthcare System
What are some of the past models that physicians used within health care? Why have physician reimbursement…

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HSM410 Financing Changing Healthcare System

HSM410 Financing Changing Healthcare System

Discussions Week 2 All Students Posts – 45 Pages 

What are some of the past models that physicians used within health care? Why have physician reimbursement models changed over the years? If you were a physician, which one would be most important to your practice?

If you were a physician, what model would most suit your practice and why? Are blog excellent research composition?  Do you think that it would depend on the number of patients that you would have and thoughts about how many patients could pay at the time?  What about the review of Medicaid?

The system models changed from the 1940 or 50s or 60 or 70 or 80s or 90s or 2000? There was constant and continuing change, and the payments will change again and again, but if we look at when these changes were made and if they were smart decisions by the government….can you image that in the future 50 years, there will be no models? Thoughts?

Some of the past reimbursement models that physicians used to finance healthcare were out of pocket payments, private health insurance, employment based health insurance and government funded programs. While these methods tried to curb healthcare cost it created problems for reimbursement and as such new methods had to be established. The emergence Managed Care Organizations such as HMO’s PPO’s Medicare, Medicaid are some of the reimbursement models that have been established over the years. These methods offered a variety of methods for individuals to access and finance healthcare as well as a method for providers to be reimbursed. In addition, insurance companies lower their risk of financial losses because as a provider when you are contracted as an “in-network provider” it means that providers have agreed to capitation payments from the insurance company. “Capitation is a method where the insurance pays a set monthly amount for each person in the plan regardless of the services used by those patients”.
The Affordable Care Act (ACA) has increased the demands of health insurance coverage since more individuals will be looking for PCP and specialist services, therefore reimbursements to providers will increase and methods of receiving payments will be continually changing. We have already seen that technological changes in the means of electronic health records and detailed billing procedures have already been established when reimbursements are being requested…