Primary Task Response: Within the Discussion Board area, write 400600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Due to decreased funding caused by value based models of payment, accountable care organization payment and bundled care payment, discuss the following:
Due to decreased funding caused by value based models of payment, accountable care organization payment and bundled care payment, discuss the following:
What is the impact that these new payment models will have on Kronas revenue?
Address the possible issues surrounding next years forecasting.
Discuss the challenges, benefits, and risks in utilizing capitation.
Due to decreased funding caused by value based models of payment, accountable care organization payment and bundled care payment, discuss the following:
Kronas is a private healthcare provider that provides both inpatient and outpatient care. The company has been a leader in the industry for years, but there are new payment models that are changing the game. Kronas must adapt to these changes if they want to stay competitive while maintaining their current revenue stream.
The need to understand the impact of these new payment models on revenue is key to future success and must be taken into account when forecasting. For example, if a service provider is expecting a decrease in revenue due to value based models of payment, accountable care organization payment and bundled care payment, they will need an accurate model of what’s happening in their market. This can be difficult since there are many factors that influence revenue such as changes in technology, health care reform legislation (ACA), regulations governing safety standards for medical equipment and devices used during procedures performed by hospital staff members who perform these types of procedures on patients who may require them at any given time during their stay at an institution such as ours here at Kronas Hospital where I work part-time while still being employed full-time elsewhere within our company which operates across several locations within North America but primarily focuses on providing services within Canada which encompasses provinces like Ontario where we’re located today; British Columbia where we have branches throughout Vancouver Island/Southern Vancouver Island area including Victoria itself which has been designated as “Official Headquarters” due to its size relative importance among other cities nearby such
Capitation is a per-member fee that healthcare providers receive for treating an individual patient. It can be used to pay for all or part of an individual’s medical expenses, including the costs associated with treatment and services provided by the healthcare provider. In many cases, capitation fees are linked to how much money an insurer pays out in claims on behalf of patients covered under their plan. This type of payment model was originally used by large insurance companies as a way to control costs while still providing adequate coverage for those who need it most (i.e., people who have high health care needs). However, over time it has become more common among smaller practices looking for ways around mounting financial pressures caused by value based models of payment, accountable care organization (ACO) payment and bundled care payment which significantly reduce reimbursements from third party payers like Medicare Part B & D plans
We have experienced many changes in our industry over the years that have led us to this point. Changes like value based models of payment, accountable care organization payment and bundled care payment are causing several challenges for Kronas. We hope by discussing these changes with our readership we can be prepared for whatever comes next!
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