StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...

Episode-based payment recommandation - Research Paper Example

Cite this document
Summary
Institution Instructor Date Episode-based payment recommendation By saving in all means possible, a government can be in a position to boost her economic performance. Savings by healthcare sector would be an equal avenue for securing the much needed funds which can be used otherwise for economic development…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER97.4% of users find it useful
Episode-based payment recommandation
Read Text Preview

Extract of sample "Episode-based payment recommandation"

Download file to see previous pages

The U.S healthcare system is characterized of high level mechanization and technological advancement. High medical specialization is evident though at the primary level, resources are poorly supplied and the overall coordination pathetic. High spending in the sector has been a major concern to healthcare policy making over time. Inefficiencies in healthcare administration and poor or total lack of incentives to consumers to be prudent in their spending on health care services are the fundamental areas of failure of the whole system.

Studies in the past has shown that much of the bulk in costs in this sector are a resultant of offering unnecessary services while at the same time enduring high levels of waste. Recommendations have been the adoption of better means to offer the only necessary services and reducing on the wastes. However, this is far from being a reality and in the contrary, the costs and inefficiencies are continued phenomena in the sector. Accompanying advantages to the consumers when the system is well coordinated are numerous.

I find it more advantageous to have the services offered in a ‘bundle’ form of payment for the financial responsibility on the side of consumers (Keckley, Underwood and Frink 5-6). Funding in the health care sector in 2005 stood in the ration of 54.5% for the private funding compared to 45.5% for the public funding. The system in common use is the ‘fee for service’ system which relies on payment for the volume of services received. Nevertheless critics have cited this to be the main hindrance to the effective service delivery in health care system.

They reason that from this system, coordination in service delivery and resource utilization is interfered with hence resulting to the en-mass wastages and the rise in insurance premiums and other related charges. Many models of service provision and payments have been devised over years. Key in these models is the FFS (Fee For Service), capitation as well as the bundles/episode type of payments. However, each has had its own short comings in terms of overall efficiency in costs and quality service provision (Keckley, Underwood and Frink 7-10).

The bundle or episode based payment stands analytically promising than the previous systems. It entails summation of all costs in treatment of a certain condition through a defined time period and through direct and indirect service provision. This incorporates the costs incured through the service provision by various providers at the varying levels of health care provision. I support this system because it takes recognition of services offered at all levels within the care system. It incorporates expenses incurred at office consultation, rehabilitation, hospital out and inpatient, pharmacy and homecare among others.

It is based on evidence on the service offered other than who does it. This system also encourages low cost service delivery by incentives as opposed to high cost of servicing which the system penalizes. To encourage the episode system of payment, incentives to further research by the care providers and educational institutions should be adopted. Equally, the EBP method provides policy makers with options of strategically aligning the service delivery in the perspective of quality as against volumes offered.

Strategic handling of patient information and the sharing of the same from one

...Download file to see next pages Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Episode-based payment recommandation Research Paper”, n.d.)
Retrieved from https://studentshare.org/health-sciences-medicine/1475529-episode-based-payment-recommandation
(Episode-Based Payment Recommandation Research Paper)
https://studentshare.org/health-sciences-medicine/1475529-episode-based-payment-recommandation.
“Episode-Based Payment Recommandation Research Paper”, n.d. https://studentshare.org/health-sciences-medicine/1475529-episode-based-payment-recommandation.
  • Cited: 0 times

CHECK THESE SAMPLES OF Episode-based payment recommandation

The Phenomenon of Sleepwalking by Examining Parasomnia in the Context of Psychology

The purpose of this paper “Sleepwalking” to comprehensively analyze the phenomenon of sleepwalking or somnambulism by examining parasomnia in the context of psychology.... The paper aims to assess the relationship between sleepwalking and its psychological causes and implications.... hellip; The vast diagnostic model for sleepwalking is based upon the foundations of assessing various behavioral actions and activities that are associated with the sleep disorder....
7 Pages (1750 words) Essay

Treatment of Bipolar Disorder

Bipolar disorder is a psychiatric condition usually characterized by mood disorders by the affected individual.... Many doctors and psychiatrists agree that bipolar disorder is a mood disorder characterized by lows and highs of moods (mania and depression), but they do not agree on the primary cause of the condition....
3 Pages (750 words) Article

Bipolar Disorder - Diagnosis and Treatment

Running head: Diagnosis and Treatment of Bipolar Disorder Bipolar Disorder: Diagnosis and Treatment Course Number: Name of of Institution: Name of Instructor: 2013 Abstract Bipolar disorder is a psychiatric illness that is most prevalent in the adolescent period but also affects adults.... hellip; Early intervention should be applied as it may result into serious symptoms, like death of the patient....
9 Pages (2250 words) Research Paper

Impacts of Affordable Care Act on Health Facilities

Impacts of Affordable Care Act on Health Facilities Student's Name Institution's Name Introduction The Health and Education Reconciliation Act enactment by the USA congress facilitated amendment of Affordable Care Act (ACA), also known as Patient Protection and Affordable Care Act (PPACA) or Obamacare....
6 Pages (1500 words) Essay

Psychological Treatment Plan Analysis

PSYCHOLOGY TREATMENT PLAN Name: Institution: Course: Date: Abstract This paper reviews a treatment plan for a thirty five year old patient exhibiting symptoms of hopelessness, reduced energy, hypersomnia and feelings of worthlessness.... Moreover, the patient runs the risk of committing suicides....
9 Pages (2250 words) Research Paper

Managing Hypoglycemia in Primary Care as a Practice Nurse

Hypoglycemia presents a unique challenge for a practice nurse, since it is one of the most serious complications associated with glucose-lowering medication.... Hypoglycemia therefore acts as a limitation regarding initiation and optimization of glucose-lowering therapy.... hellip; y, hypoglycemia compromises a patient's long-term compliance to glucose-lowering regimens as many patients are forced to bring about a change in their drug regimen following an episode of hypoglycemia. Enduring an episode of hypoglycemia can have far reaching consequences and Many patients opt to increase their food intake to an extent where hyperglycemia becomes inevitable....
12 Pages (3000 words) Essay

Bipolar Disorder - Incurable Psychic Disease Associated with Adverse Health Complications

Bipolar disorder (BD) is a debilitating, chronic mental illness that is characterized by rapid mood changes and usually affects adolescents and young adults.... The typical clinical presentation includes alternating episodes of mania with hyperactivity, euphoria, and behavioral… In this paper, I will highlight the key clinical features of the disease as well as describe the available diagnostic tools and provide the analysis of the current treatment options. Bipolar disorder is a Genetic factors are considered to be the leading contributor to the disease, accounting for up to 80% of the risk of having the illness....
6 Pages (1500 words) Essay

Paranoid Personality Disorder and its Treatment

In the paper “Paranoid Personality Disorder and its Treatment” the author attempts to present an interesting and authentic study of a clinical case of paranoid personality disorder in an adult, educated, working woman.... It shows the current methodology and efforts of treatment through a classical approach....
5 Pages (1250 words) Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us