Healthcare Reimbursement

Health Care Reimbursement

Introduction

Currently healthcare organizations have been giving more consideration to Reimbursement models so that they can properly furnish data with respect to payment contract. The reason for this is past and the current state polices and these policies have forced to change reimbursement for better future. Leading health institutions both at policy level and in the technical-administrative, rising cost that have health benefits. 

It is the permanent quest for greater efficiency without lowering the level of benefits, i.e., without changing its effectiveness. Undoubtedly there are many factors involved, and their joint management depends to achieve good results. In this paper, the focus would be on an analysis of current health care reimbursement policies and their affect on financial management decisions. The will stress mainly on an evaluation of health care reimbursement and payment methods for an acute care hospital

Discussion

Health payment mechanisms within the Context of the acute care hospital

The mode of payment made in a given system is closely related to the main characteristics of the organizational and the objectives pursued. Moreover, the relationships between the different actors in the system, which are basically the user, the financing entity and the supplier are largely determined by the difference or the consistency of their objectives and this is reflected in the predominant mode of payment (Casale, Thomas, Gillam, at al., 2011). Thus, whatever the mode of payment is adopted, the greatest challenge is to strike a balance to ensure the welfare of the three parties involved, which in practice is extremely difficult. As access and analyze, from a user's perspective, the financing entity or the supplier (in this case the doctor), judgments about the various payment mechanisms vary and even opposed, depending on the historical moment and context they develop, and primarily based on the perspective of analysis used. In the latter sense one can say this that there is a feedback system between the organization and the predominant compensation model. If one analyzes the evolution of compensation models prevailing in different health systems, it can be noted that the adopted model is both an effect of the organization of the health system that develops as a determinant of some characteristic features of the system (Casto, Layman, 2006).

The system organization of medical conditions different remuneration arrangements that impact differently on the motivation of the professional. In turn, the different payment methods have different effects on the levels of production and productivity of services, quality of services and the level of resource utilization. This does not mean that the payment system is itself responsible for the effectiveness of the model of care and its efficient operation. Other factors interact. The role of educational institutions as determinants of how professionals develop their activities, given the complexity of the skills and abilities that make medical practice is emphasized. This makes it difficult to use these services standardize work procedures at the operational level resources. This is expected in professional organizations (Layman & Casto, 2012).

Payment mechanisms and Acute Care Hospital

While the study of different methods of paying doctors and their effects on ...