Discuss the advantage and disadvantage of the following hospital payment systems on cost containment and provider behavior

Health sciences and medicine
April 9, 2021
Departmental Analysis for Northwestern Hospital
April 9, 2021

ESSAY INFO:

Discuss the advantage and disadvantage of the following hospital payment systems on cost containment and provider behavior:

• Fee-for-service
• Per diem
• The DRG-based payment system (i.e., Medicare’s Inpatient Prospective Payment System)
• Capitation
SLP Assignment Expectations:
• Cite all sources and provide a reference list at the end of the paper.

REFERENCE/ INFO

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Medicare Payment Advisory Commission. (2010). Medicare Payment Basics: Hospital Acute Inpatient Services Payment System. Available at http://www.medpac.gov/documents/MedPAC_Payment_Basics_10_hospital.pdf (Retrieved 11/21/2012)

Medicare Payment Advisory Commission. (2010). Medicare Payment Basics: Outpatient Hospital Services Payment System. Available at http://www.medpac.gov/documents/MedPAC_Payment_Basics_10_OPD.pdf (Retrieved 11/21/2012)

Centers for Medicare and Medicaid. (2010). Hospital Outpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at http://www.cms.gov/MLNProducts/downloads/HospitalOutpaysysfctsht.pdf (Retrieved 11/21/2012)

Centers for Medicare and Medicaid. (2009). Acute Care Hospital Inpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf (Retrieved 11/21/2012)

Office for Oregon Health Policy and Research. (2008). Healthcare Payment Reform & Provider Reimbursement: A Summary of Strategies for Consideration by the Oregon Health Fund Board. Available at http://www.oregon.gov/OHPPR/HFB/Delivery/Payment_Reform_Provider_Reimbursement_Paper.pdf?ga=t (Retrieved 11/21/2012)

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