Medicare Reform Essays (Examples)

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US Healthcare Reimbursement And Insurance Issues

Pages: 6 (1653 words) Sources: 8 Document Type:Essay Document #:69275488

… typically pay the list price). Policies concentrating on this health insurance function impact healthcare organizations’ and providers’ negotiating leverage about insurers. For instance, medicare establishes payment rates using fee schedules, instead of enabling healthcare systems to utilize their leverage in the market for driving up charged rates. ……

References

References

Araujo, M. (2020). Health and medical insurance differences: HMO, PPO, POS, EPO. Retrieved from  https://www.thebalance.com/health-and-medical-insurance-2645378 

Bertram, M. Y., Lauer, J. A., De Joncheere, K. D., Edejer, T., Hutubessy, R., Kieny, M. P., & Hill, S. R. (2016). Cost-effectiveness thresholds: pros and cons. Bull World Health Organ, 94, 925–930. http://dx.doi.org/10.2471/BLT.15.164418926

Dey, P., & Bach, P. B. (2019). The 6 functions of health insurance. The JAMA Forum, 321(13), 1242-1243.  DOI:10.1001/jama.2019.2320

Ho, A. (2015). Health insurance. Encyclopedia of Global Bioethics. Retrieved from https://www.researchgate.net/publication/298022702_Health_Insurance

IMedPub. (2020). Health insurance. Retrieved from https://www.imedpub.com/scholarly/health-insurance-journals-articles-ppts-list.php

Maruthappu, M., Hasan, A., & Zeltner, T. (2016). Enablers and barriers in implementing integrated care. Health System & Reform, 1(4), 250-256.  https://doi.org/10.1080/23288604.2015.1077301 

Sekhri, N. (2000). Managed care: The US experience. Bulletin of the World Health Organization, 78(6), 830-844. Retrieved from  https://www.who.int/bulletin/archives/78(6)830.pdf 

Strata Decision Technology. (2020). Healthcare and hospital capital budget. Retrieved from  https://www.stratadecision.com/healthcare-and-hospital-capital-budget/

 

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