Healthcare Utilization and Finance

Healthcare Utilization and Finance Essay example
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Topic: Healthcare Utilization and Finance Student: Course: Date: Professor: Mrs. Zwick’s costs coverage Medicare Part A This part covers inpatient care but does not cover custodial care. According to Mrs. Zwick’s case, part A will take care of the bills pertaining to the initial three days of the five days that she was hospitalized for stroke treatment.


Medicare Part B Essentially, this part covers healthcare services that are not provided for in part A of the Medicare. In Mrs. Zwick’s case, the cost of the different diagnostic tests that she underwent during her hospital stay and time of rehabilitation would be paid for in this part. Medicare Part D This last option of insurance cover deals with payment of the cost of drugs that are prescribed during a hospital stay. The antibiotics that were prescribed during the initial hospital stay will be catered for here. Moreover, the medication that prescribed upon her discharge will be also paid and by extension the walker that she required to walk around. Medicare policies and Reimbursement of Additional Care The policy by Medicare not to pay additional costs emanating from hospital acquired infections means that these cases have to be HAC (hospital-acquired complications) in terms of high cost. This in turn means that a patient with such a problem would have to be assigned to payment of higher premiums to cover the whole cost. It is however predicated upon the premise that the complication was due to secondary diagnosis and could have been prevented through utilization of evidence based guidelines. ...
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