Reimbursement   Debate

Ashford 3: – Week 2 – Discussion 1

 

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the Discussion Forum Grading Rubric for guidance on how your discussion will be evaluated.

 

Reimbursement   Debate

There are four specific reimbursement methods in our healthcare system. For this discussion, you will make your initial post on one of the four methods of reimbursement and will make responses to two of the other three methods of reimbursement posted by your classmates. The reimbursement method you will be discussing in your initial post depends on the first initial of your last name. See the table below, and then post an argument on your topic that explains why your method of reimbursement is the best method for the U.S. healthcare system. You and each of your classmates will also post rebuttals to one person from two of the other methods – staying focused on the argument for your specific reimbursement method. For help, review the Understanding Insurance Models game in the Chapter 3 Summary section of your textbook.

Students with last names starting with A–H are assigned to Method 1. Support fee-for-service throughout this discussion; submit rebuttals to two of the other Methods (2, 3, or 4).

Students with last names starting with I–M are assigned to Method 2. Support capitation throughout this discussion; submit rebuttals to two of the other Methods (1, 3, or 4).

Students with the last names starting with N–R are assigned to Method 3. Support pay-for-performance throughout this discussion; submit rebuttals to two other Methods (1, 2, or 4).

Students with the last names starting with S–Z are assigned to Method 4. Support the value-based model throughout this discussion; submit rebuttals to two other Methods (1, 2, or 3).

Your original post should be at least 250 words with at least two scholarly sources that support your view. Your rebuttals should be at least 150 words with at least one scholarly source supporting your rebuttal.

Example: You are assigned to Method 1— fee-for-service. Your original post discusses why the fee-for-service model is best for the U.S. healthcare system. Your response posts will refute two of the other methods on the other topics by stating why fee-for-service is better than capitation, pay-for-performance, or the value-based model. You need to include justification for your response.

Method 1: Fee-For-Service (last names A-H)
In your initial post:

  • Examine how this reimbursement model has positively      influenced the overall health care system.
  • Identify how this reimbursement model evolved as a solid      and crucial part of the health care system.
  • Determine how this reimbursement model has positively      influenced cost, quality, and access of care.

Guided Response: Review at least two of the other methods posted by your classmates. Respond to at least two of your classmates who have posted an argument for two of the other methods. In your responses,:

  • Examine how your classmates’ model has a more negative      influence on the health care system than the other models.
  • Identify how your classmates’ model has a weaker      foundation for being part of the health care system (i.e., historical      value of yours vs. theirs).
  • Determine how your classmates’ model has negatively      influenced cost, quality, and access of care in comparison to your model.

Method 2: Capitation (last names I-M)
In your initial post:

  • Examine how this reimbursement model has positively      influenced the overall health care system.
  • Identify how this reimbursement model evolved as a      solid and crucial part of the health care system.
  • Determine how this reimbursement model has positively      influenced cost, quality, and access of care.

Guided Response: Review at least two of the other methods posted by your classmates. Respond to at least two of your classmates who have posted an argument for two of the other methods. In your responses

  • Examine how your classmates’ model has a more negative      influence on the health care system than the other models.
  • Identify how your classmates’ model has a weaker      foundation for being part of the health care system (i.e., historical      value of yours vs. theirs).
  • Determine how your classmates’ model has negatively      influenced cost, quality, and access of care in comparison to your model.

Method 3: Pay-For-Performance (last names N-R)
In your initial post,

  • Examine how this reimbursement model has positively      influenced the overall health care system.
  • Identify how this reimbursement model evolved as a      solid and crucial part of the health care system.
  • Determine how this reimbursement model has positively      influenced cost, quality, and access of care.

Guided Response: Review at least two of the other methods posted by your classmates. Respond to at least two of your classmates who have posted an argument for two of the other methods. In your responses:

  • Examine how your classmates’ model has a more negative      influence on the health care system than the other models.
  • Identify how your classmates’ model has a weaker      foundation for being part of the health care system (i.e., historical      value of yours vs. theirs).
  • Determine how your classmates’ model has negatively      influenced cost, quality, and access of care in comparison to your model.

Method 4: Value-Based Model (last names S-Z)
In your initial post,

  • Examine how this reimbursement model has positively      influenced the overall health care system.
  • Identify how this reimbursement model evolved as a      solid and crucial part of the health care system.
  • Determine how this reimbursement model has positively      influenced cost, quality, and access of care.

Guided Response: Review at least two of the other methods posted by your classmates. Respond to at least two of your classmates who have posted an argument for two of the other methods. In your responses,

  • Examine how your classmates’ model has a more negative      influence on the health care system than the other models.
  • Identify how your classmates’ model has a weaker      foundation for being part of the health care system (i.e., historical      value of yours vs. theirs).
  • Determine how your classmates’ model has negatively      influenced cost, quality, and access of care in comparison to your model.
 

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