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Reimbursement Models  (create 2-3 page memo) Instructions You will use Vila Health: Investigating a Readmission as the context to address Part 4 of this assessment

Health Science Nov 29, 2021

Reimbursement Models  (create 2-3 page memo)

Instructions

You will use Vila Health: Investigating a Readmission as the context to address Part 4 of this assessment.

Several of the Vila Health's stakeholders are seeking clarification regarding new reimbursement models they have been hearing about recently. For this assessment, prepare a two-three page memorandum outlining the differences between the new reimbursement models and prior, traditional models for stakeholders.

Support your assertions in the memo with at least three academic sources.

Part 1: Traditional Payment Methods (1 paragraph)

Relevant scoring guide criteria: Describe traditional payment models in health care.

    • “Describe” means to give an account in words of (someone or something), including all the relevant characteristics, qualities, or events.
    • Identify the traditional payment models.
    • What are the key characteristics of these reimbursement models?
    • How was quality monitored under these model

Part 2: Current Trends in Health Care Payment (1 paragraph)

Relevant scoring guide criteria: Describe current trends in health care payment models.

    • Identify the current trends in health care payment models.
    • What are the key characteristics of these reimbursement models?
    • How is quality monitored under these models?
  • Explain reasoning for newer models of reimbursement in health care.
    • “Explain” means to make (an idea, situation, or problem) clear to someone by describing it in more detail or revealing relevant facts or ideas.
    • provide relevant examples, supported by current scholarly or professional sources.

Part 3: Comparison of Models ( ½ to 1 full page)

Relevant scoring guide criteria:

  • Compare and contrast how quality outcomes are rewarded under traditional and current payment models in health care.
    • Develop a concise comparison of the key similarities and differences of the reimbursement process between traditional and current models.
    • provides relevant examples supported by current literature

Part 4: Quality Concerns (1 paragraph)

Relevant scoring guide criteria:

  • Explain quality concerns affecting reimbursement given a specific patient scenario.
    • Specifically address the recent problematic patient case from the Vila Health: Investigating a Readmission scenario.
    • Briefly discuss how the care provided would be reimbursed under prior models versus reimbursement under newer models, based on your assertions in Part 3 of your memo.
    • Also, identify quality issues that will likely impact the organization's reimbursement under new payment models.
    • makes recommendations that are supported by current scholarly or professional source
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