Analyze at least one federal, one state, and one third-party payer regulation that could affect your healthcare organization, providing examples of both positive and negative impacts on various stakeholders for each regulation you identify
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Analyze at least one federal, one state, and one third-party payer regulation that could affect your healthcare organization, providing examples of both positive and negative impacts on various stakeholders for each regulation you identify
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- Analyze at least one federal, one state, and one third-party payer reporting requirement that could affect the healthcare organization, providing examples of both positive and negative impacts on various stakeholders for each reporting requirement you identify.Healthcare administrators should be well versed on policies affecting healthcare financing at the federal and state levels. Healthcare organizations need to assess the financial impact that a volume-to-value transition (VVT) will cause to their facility, the staff, and the patients. Who benefits from moving healthcare from volume to value? What are the factors a healthcare administrator must take into consideration when deciding to transition to a volume-to-value model? How are the financial impacts HCOs face who are currently using this model?Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. Please identify some reasons why attempts at cost control have not succeeded
- Explain the relationship between meaningful use and health care reimbursement; in particular the influence meaningful use has had on transforming how physicians and organizations are reimbursed by the Centers for Medicare & Medicaid Services (CMS).Analyze the advantages and disadvantages of both governmental and nongovernmental payer models in healthcare, as well as their impact on various stakeholders.What risk and quality management tools do you use to interpret or present the data for long wait times for patients to see their healthcare providers?
- Give four typical stakeholders who offer input to managing a healthcare organization. Please explain in detailDescribe the various sources of funding beyond third-party reimbursement from which the various types of healthcare facilities can benefitExplain how technical and allocative inefficiency in health care firms affect the welfare of the patients.
- Describe how patient hospital stays can impact healthcare reimbursement from the organizational perspective.5)Identify ways that data can be used in healthcare to improve patient relations. 6) How has HIPAA changed since HITECH was implemented and meaningful use has been implemented? 7) How does information blocking change the role of the healthcare professional?In the past decade there has been increasing discussion of the government's role as a health care insurer. Should the government play more of a significant role as an insurer? Currently the largest insurance type in the U.S. is employer based. Is there a real difference between members of society being at the mercy of their employer for coverage instead of at the mercy of the government?