HSA4109- Assignment 4

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Keiser University *

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4109

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Business

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Feb 20, 2024

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1 Lesson 04 – Assignment Marie Heitzman Department of Business, Palm Beach State College Principles of Managed Care HSA4109 Dr. Anthony Johnson February 13 th , 2024
2 The healthcare industry is one of the most powerful in the world, and we spend the most money on hospitals and medical offices, making them examples of businesses that require operational expenses to be met. That is when reimbursement models become critical for compensating medical professionals for their services while also promoting better healthcare at lower costs. A few examples of physician reimbursements are: The fee-for-service (FFS), Value- based payment (VBP), Alternative payment models (APMs). The fee-for-service payment system rewards physicians based on the number of appointments, examinations, or treatments they provide, as opposed to the level of care or relevance of their services, leading to poor results. Value-based payment (VBP) and delivery system interventions were established with the purpose of changing payments based on quantity of services to payments that incentivize high- quality, cost-effective care. Nowadays, a quarter of all payments are connected to FFS, with some link to quality and value.
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