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What is the impact that these new payment models will have on Krona’s revenue?

Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Due to decreased funding caused by value based models of payment, accountable care organization payment and bundled care payment, discuss the following:

  • What is the impact that these new payment models will have on Krona’s revenue.
  • Address the possible issues surrounding next year’s forecasting.
  • Discuss the challenges, benefits, and risks in utilizing capitation.
  • _________________________________________________________________________________________________________________________________

Unit 2 DB (Financing Health Services)

 

Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Public and private health insurance plays a very significant role in the delivery and funding or reimbursement of health care services, making it very important that all health care professionals understand, at a minimum, the basics of health insurance. For this assignment, you are required to discuss the following:

  • Provide a definition of both private and public health insurance, and discuss the differences between private and public health insurance.
  • Choose 1 public health insurance program (e.g., Medicare, Medicaid, or Children’s Health Insurance Program), and discuss the basics of that program and the financial impact it has had on health care delivery in the United States.
  • ___________________________________________________________________________________________________________________________

Unit 2 IP (Financing Health Services)

 

“The complexity of financing in health care is one of the primary characteristics of medical care delivery in the United States” (Shi & Singh, 2012, p. 129). There are numerous reimbursement methods (e.g., capitation, fee-for-service, package pricing, etc.) that are used by health care organizations and providers to get paid for the health care services that they provide. Building upon your Individual Project from Unit 1, write a 3-5 page paper not including a title page and reference page that contains the following:

  • Summarize 3 different reimbursement methods that are used by health care providers and organizations.
  • Choose which method(s) will work best for the health care facility that you have proposed to be developed, and explain why you chose that method(s).
  • Discuss the pros and cons of the reimbursement method(s) that you chose.
  • Discuss the impact that the method(s) may have on the financial operations of the facility that you chose.

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