Discussion: Health Insurance and Reimbursement Discussion
Choose one of the 6 questions on page 52 and 53 of your text (also listed below). Initiate a discussion with ONE of the questions by stating the question and your answer. Justify your answer and respond to 2 of your peers (per the Discussion Board Rubric) with additional support (references). **If you do not have access to the course text yet, you can use alternate references for this assignment.
1. List three ways the DNP provides leadership in helping a healthcare entity optimize reimbursement from insurers.
2. Choose two preferred financial and patient care outcomes from the following list and describe two ways to achieve each of them:
a. Reduce overall hospital admissions.
b. Reduce average length of stay.
c. Reduce avoidable hospital readmissions.
d. Reduce high-tech imaging services.
e. Reduce amount CMS pays per beneficiary.
3. Discuss three of the CMS’s major value-based programs. Define the programs and the criteria that are needed for each of these programs to be successful.
4. Can the kind of care proposed in an IDS be provided in a system that has a primary focus on either provider or corporate incomes and profit accumulation?
5. Why is it financially important for hospitals to institute effective discharge-planning programs?
6. Partnerships between acute care and community-based settings improve continuity of care. How do these partnerships influence reimbursement for health systems?.
Remember, it is acceptable to offer an opposing viewpoint as long as it is substantiated with evidence.
Note:
APA reference please.
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