HCA 205 Reimbursement Debate
Grand Canyon University HCA 205 Reimbursement Debate-Step-By-Step Guide
This guide will demonstrate how to complete the HCA 205 Reimbursement Debate assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for HCA 205 Reimbursement Debate
Whether one passes or fails an academic assignment such as the Grand Canyon University HCA 205 Reimbursement Debate depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for HCA 205 Reimbursement Debate
The introduction for the Grand Canyon University HCA 205 Reimbursement Debate is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for HCA 205 Reimbursement Debate
After the introduction, move into the main part of the HCA 205 Reimbursement Debate assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for HCA 205 Reimbursement Debate
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for HCA 205 Reimbursement Debate
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for HCA 205 Reimbursement Debate Included After Question
The capitation payment system is a healthcare reimbursement technique that reimburses a physician, clinic, or hospital for services that they will render to a patient under the program in the future for a defined period (Chapter 3, N.d.). In so doing, it enables these services providers to attain immense financial benefits if they render minimal health services to the patient before the expiration of the defined period. This system exerts a significant positive influence on the overall healthcare system by obligating physicians, clinics, and hospital to provide patients with quality healthcare services to minimize their hospital revisits or readmission hence amass substantial financial gains.
The capitation payment system gained popularity in the 1980s and 1990s due to pressure from both the U.S. government and private insurers to adopt a mechanism that would reduce the bloated cost of health care in the country (James & Poulsen, 2016). The tool proved integral as it enabled these institutions to curb healthcare expenditure by reimbursing health providers with specified fees for every patient for a defined period. Moreover, its avocation for patients to receive limitless healthcare services further enhanced its relevance by not only improving their access to care but also obligating care providers to provide them with quality healthcare to minimize hospital revisits and patient readmissions.
The capitation model has profoundly exerted a positive influence on the cost, quality, and access to healthcare service. By reimbursing physicians, clinics, and hospitals before the delivery of health care services, the model enables them to obtain the requisite resources necessary for the provision of quality care to patients under the program hence improving healthcare costs (Chapter 3, N.d.). Also, the program advances quality by obligating practitioners to provide patients with sound care to minimize hospital revisits or patient readmissions. Moreover, it permits access to care by ensuring that beneficiaries obtain the necessary health care services for as long as they may desire during the insurance period.
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Sample Answer 2 for HCA 205 Reimbursement Debate Included After Question
Thank you for sharing your views on Capitation reimbursement method. However, your method is not the best method of reimbursement. The Capitation reimbursement method does not work for all hospitals, PCP, or patients. Capitation is only good for two major groups which are employers and those who utilize HMO insurance policies. However, providers are negatively impacted if one is chosen more so than the other because the one who uses the least amount of services generally gets compensated more. Employers utilize the capitation method because it provides them with a fixed rate for employee insurance coverage. Capitation provides incentives to hospitals and PCP to give fewer services to patients in order to gain more profits. That isn’t in the best interest of the patient and it only works for the provider. It isn’t a method that works for both parties. That’s precisely why fee-for-service is still the best method of reimbursement. The cost of fee-for-service is cost effective and direct. The quality of services provided are geared towards helping patients obtain services and know what those services cost. They are being treated with more care and are not in a race for compensation over the quality of care. They have access to every service they need. Fee-for-service was the first method of reimbursement created and is still used to this day because of it’s efficiency. It works for everyone.
Chapter 3. (N.d.). Healthcare Financing and Reimbursement.
Pearce J.W., (2012) Healthcare Financial Management: Journal Of The Healthcare Financial Management Association
Sample Answer 3 for HCA 205 Reimbursement Debate Included After Question
The Capitation model seems like a strong reimbursement method. Any method that gives incentives to doctors for providing efficient, quality care is good. According to Batnitzky, (2018) “The provider profits if fewer services are used. However, if more services are used, the provider absorbs the cost.” (p. 61) This This is where capitation falls short in my opinion. When a hospital is forced, sometimes out of their own control to provide care that exceeds the annual payment contract they are the sole bearer of that cost. depending on patient load, and the type of illnesses can greatly affect a hospitals profitability and cause a potentially huge change in year to year business plans. The newer reimbursement types like pay-for-performance take away the fixed payment. they add bonuses to providers for quality care and meeting certain standards, while still being penalized for sub par performance and not meeting standards. The difference being that hospitals performance can dictate profits or penalties, and not being penalized for participating in a capitation type program.
Reference: Batnitzky, A., Hayes, D., & Vinall, P.E. (2018). The U.S. healthcare system: An introduction [Electronic version]. Retrieved from https://content.ashford.edu/Links to an external site.
Sample Answer 4 for HCA 205 Reimbursement Debate Included After Question
Method 4: Value-Based Model (last names S-Z)
Examine how this reimbursement model has positively influenced the overall health care system.
The value-based model has positively influenced the overall health care system by providing rewards for helping patients. This improves the patients’ health, reduces the effect and incidence of chronic diseases, and can live healthier lives in an evidence-based way.
Identify how this reimbursement model evolved as a solid and crucial part of the healthcare system
This reimburse model has evolved as a solid and crucial part of the health care system, by changing the way physicians and hospitals provide care. This approach stresses a team-oriented approach to patient care and sharing the patient data. This will make care coordinated and outcome easier to measure making the patient a priority. With this approach, providers are paid on a patient’s health outcome not how many patients seen. This is making it a crucial and solid model since a patient health is being focused on, and not how many patients are seen.
Determine how this reimbursement model has positively influenced cost, quality, and access to
This reimbursement model has positively influenced, cost by limiting the amount patients spend on achieving overall better health. It also holds “the ‘purchasers of health care (government, employers, and consumers) and payers (public and private) hold the health care delivery system at large (physicians and other providers, hospitals, etc.) accountable for both quality and cost of care.”
In the future, it is believed to embrace this model will immerse the quality of care and help people live healthier lives. These models allow fewer doctors, test, and procedures to be done due to the fact, they focus on the patient having a healthier life.
” Value increases as the quality of the care increases or the cost of care decreases”.It also lets you have more time with your doctor, same day appointments, short wait times, and more coordinated care. This all led to better care and better overall health.
Reference: https://content.ashford.edu/books/Batnitzky.5231.18.1Links to an external site.
https://www.aafp.org/about/policies/all/value-based-payment.htmlLinks to an external site.
https://healthrosetta.org/health-rosetta/value-based-primary-care/Links to an external site.
Sample Answer 5 for HCA 205 Reimbursement Debate Included After Question
Value-based reimbursement reduces the value of care of the patient because some doctor’s look down on the patient’s who have Medicare or Medicaid. This is especially true for nursing home patients. Even though the physicians are reimbursed, this is a sad reality. Pregnant is also popular among pregnant women and children. This type of system is hard for the patients to get the types of tests needed to diagnose certain health issues because they are government funded. Fee-for-service plans are modelled so the patient can see the doctor when they need to. They are not operated by the government. The patient pays for the doctor’s visit and is them reimbursed for the visit, or the doctor files the claim and is reimbursed. The patient pays more money for these types of insurance plans but it is more beneficial for the patient.