Nr533 Week 2 Touchpoint Reflection: Reimbursement Issues
Nr533 Week 2. Guidelines for Touchpoint Reflections
A downloadable version of the guidelines, which includes further information, is available for access on the Course Resources page.
Reflection Information
EXPERIENCE
Consider the data collected in Week 1 about your institution’s payer mix, delivery system, population demographics, and this week’s discussion on value- and volume-based reimbursements
REFLECTION
Describe how these factors coalesce to influence the financing of the type and quality of care provided at your institution. What are the implications on access and availability of types of care provided at your institution?
IMPLICATIONS FOR FUTURE
How is your proposed project affected by the information you’ve gathered about your facility?
What adjustments might you have to make in your proposal because of the information gathered?
Nr533 Week 2 Touchpoint Reflection Answer
The healthcare sector has been a focal point of enduring scrutiny regarding how payment types and amounts to healthcare facilities and practitioners influence the nature, extent, and quality of patient care, ultimately shaping healthcare costs for individuals, insurers, employers, and governments (Catanzano, Hutzler, & Bosco, 2016).Nr533 Week 2 Touchpoint Reflection
In my institution, the reimbursement dynamics are intricately tied to population demographics, dictating the proportion allocated from private insurance, out-of-pocket payments, or government agencies like Medicaid and Medicare. To cater to diverse patient populations comprehensively, the institution strategically established multiple branches and implemented a blend of short- and long-term strategies to achieve an optimal payer mix.
Within this mix, the proportion of patients covered by private insurance emerges as the primary driver influencing the healthcare system’s financial landscape.
References: Catanzano, A. J., Hutzler, L., & Bosco, J. A. (2016). The evolution of healthcare delivery—the role of the orthopaedic surgeon. Bulletin of the Hospital for Joint Surgery, 74(1), 11-17.
