the impact of case rates and management utilization
This essay focuses on the impact of case rates and management utilization. insight into the impact of case rates and management utilization data on reimbursement
the impact of case rates and management utilization
Meets “Proficient” criteria and demonstrates exceptional insight into the impact of case rates and management utilization data on reimbursement
5.643 points
Logically assesses the impact of case rates and data on pay-for-performance incentives, supporting response
One of the major themes dominating health care discussions today is the fact that healthcare costs in the United States are proving unsustainable. In 2016, the U.S. spent $3.35 trillion, or approximately 18 percent of gross domestic product, on health care (Centers for Medicare & Medicaid Services, 2018). Hospital care alone accounts for 33% of these costs, while clinical and physician services make up another 20% and retail prescription drugs account for an additional 10% of costs (Centers for Medicare & Medicaid Services, 2018). Concerns are particularly heightened in the field of cancer where costs have
nearly doubled over the last decade (Journal of Cancer Policy, 2014). The costs of cancer care are rising more quickly than costs of health care in other medical sectors and account for five percent of total U.S. health care spending (Journal of Oncology Practice, 2017). From the Cancer Support Community (CSC) perspective, we are particularly concerned about rising copayments, co-insurance, premiums, deductibles, and other out-of-pocket costs facing cancer patients and their loved ones.
Practices known as “utilization man
4.389 points
Assesses the impact of case rates and management utilization data on pay-for-performance incentives, supporting response, but with gaps in logic, detail, or relevant support
0 points
Does not assess the impact of case rates and management utilization data on pay-for-performance incentives
Score of Financial Principles and Reimbursement: Strategies,/ 6.27
Financial Principles and Reimbursement: Methods
3.76 points
Meets “Proficient” criteria and
demonstrates advanced knowledge of reimbursement methods with regard to strategic planning
3.384 points
Accurately analyzes reimbursement methods, describing the advantages and disadvantages of each method in terms of strategic planning for operational performance
2.632 points
Analyzes reimbursement methods, describing the advantages and disadvantages. It is of each method, but with gaps in accuracy, detail, or relevancy to strategic planning for operational performance
Details;
firstly, be sure
secondly, bve fast
thirdly, be comfortable
Further,. integritry
Further, be cautious
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