Reimbursement Models

Develop a two-page memo to help relevant stakeholders at Vila Health’s St. Anthony Medical center better understand traditional and emerging reimbursement models.

***GRADING RUBRIC MUST BE FOLLOWED TO THE LETTER***

APA FORMAT

***MUST INCLUDE CITE-ABLE IN TEXT EXAMPLES***

Reimbursement Models

  • Casto, A. B., & Forrestal, E. (2015). Principles of healthcare reimbursement (5th ed.). Chicago, IL: AHIMA Press.
    • Chapter 1, “Healthcare Reimbursement Methodologies,” pages 1–26. This chapter will help you develop a foundational understanding of basic terminology and models of payment associated with health care reimbursement in the United States.
  • Miller, H. D. (2009). From volume to value: Better ways to pay for health care. Health Affairs, 28(5), 1418–1428.
    • This seminal article examines the potential quality pitfalls of volume-based health care reimbursement and advocates for methods that could drive an increase in value and quality.
  • Miller, P., & Mosley, K. (2016). Physician reimbursement: From fee-for-service to MACRA, MIPS, and APMs. The Journal of Medical Practice Management, 31(5), 266–269.
    • This article examines how reimbursement has changed over the past century and the impact these changes have on practice and staffing strategies.

Accountable Care Organizations

  • Centers for Medicare & Medicaid Services. (2016). Accountable care organizations (ACO). Retrieved from .
  • Centers for Medicare & Medicaid Services. (2016). Accountable care organizations (ACOs): General information. Retrieved from
    • General information about ACOs. This page contains an overview video that presents the Pioneer ACO model, as well as links to specific ACO programs.
  • Centers for Medicare & Medicaid Services. (2016). Accountable care organizations: What providers need to know [PDF]. Retrieved from .
    • PDF quick guide for health care providers to understand the characteristics, benefits, and risks of ACOs.

Healthcare Policy

Insurance

 

Last Updated on February 11, 2019 by Essay Pro