HLT-313v Week 2 Assignment – Provision and Reimbursement of Health Care Services

The areas of provision and reimbursement of health care services have each undergone considerable changes in the past several years, with the following current trends identified as being the most significant contributors to change:

The Patient Protection and Affordable Care Act (also referred to as the ACA or “Obamacare”) and the Health Care and Education Reconciliation Act of 2010

Bundled payment structure versus fee-for-service payment structure

Accountable Care Organizations (ACOs)

Technology and Telemedicine

Medicare Advantage Plans

Population health management strategies

Using your employer/organization’s resources, appropriate websites, and the GCU Library as your informational foundations, research these trends and others you may find relevant, and write a 1,200 word essay in which you examine the following:

Which of the currently identified health care trends overall are already impacting your employer/organization, or an organization in your city/region in your health care field?

Which of the currently identified health care trends are specifically impacting your sector of allied health, and why?

What emerging health care trends on the horizon may impact your employer/organization and/or your specific allied health sector?

Which of the current or emerging trends do you see as most likely to positively impact your specific role and sector in allied health? Which trends are most likely to negatively impact it? (Examples: wages, job security, educational requirements, etc.)

How will the trends you identify impact safety, risk management, and/or quality improvement policies in your organization/and or an organization in your city/region in your health care field?

You are required to use and cite a minimum of three qualified resources from the readings or the GCU Library in order to complete this assignment successfully.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

MORE INFO 

Provision and Reimbursement of Health Care Services

Introduction

The provision and reimbursement of health care services is a complex process that requires the integration of many different systems, processes, and organizations. It also involves a significant amount of human interaction within these systems. At its core, however, this process has three main components: (1) identifying the need for services; (2) obtaining approval from decision makers; and (3) billing patients or others responsible for paying for such services. This article will explore these three areas in detail by providing an overview of how they work together to ensure access to high-quality care within our health care system

Progression of Services

The provision of health care services is a complex process that requires a range of skills and knowledge. As the demands on the system have increased, so has the complexity of its provision. This can be seen in both changes in practice (systems change) and in how these changes are managed (measurement).

The way in which health care services are provided has changed over time: more care is being provided; but this has also led to an increase in administrative costs as well as financial risk for providers.

Common Themes and Challenges

The provision of health care services is a complex process that involves many actors, including health professionals and patients. The reimbursement of these services is also an important factor in their success.

There are some common themes and challenges that emerge when dealing with the provision of healthcare:

• Providers need to be aware of their role as both suppliers and consumers of medical care.

• Patients must understand how their income affects their ability to pay for healthcare needs; this may include understanding how insurance works or being able to purchase supplemental plans through employers or unions if they have coverage through those channels (e..g., union members). Additionally, it’s important for patients’ families members (e..g., spouses) who may contribute financially toward someone else’s health care costs so that everyone knows what his/her responsibilities are if something happens unexpectedly like having surgery without insurance coverage available beforehand – but perhaps because we’ve been waiting so long already…

Changing Roles for Health Care Professionals

In the past, health care professionals have been responsible for everything from ordering tests to delivering babies. But today’s health care environment is changing rapidly. The roles of nurses and physicians are evolving as more patients seek out alternative providers who can help them navigate their options. In addition to traditional primary care doctors, there are nurse practitioners (NPs), physician assistants (PAs), and certified nurse midwives (CNMs). These new specialists may not be able to perform every task a traditional doctor could do—but they can certainly provide valuable input during consultations with your doctor or another medical professional on your medical team.

Takeaway:

The role of the health care professional is changing. In a world where patients want to be involved in their own healthcare, they are becoming more empowered with knowledge and decision-making power. As a result, it’s important for providers to provide patients with the information they need to make informed decisions about their treatment options.

In order for hospitals and other healthcare organizations to adapt effectively to this new environment, it’s important that they continue providing quality care by incorporating innovative technologies into their processes—such as artificial intelligence (AI) software applications that can automate tasks like order entry or scheduling appointments—to help streamline workflow processes so employees have more time available for patient interactions instead of manually entering data into spreadsheets every day!

Conclusion

We hope this article has provided you with some helpful information on how to provide proper care for your patients. The key takeaway is that if you are a health care professional and have been asked by your employer or department head whether they can provide coverage for an individual, then it is important that you follow the guidelines provided by both them (or any other organization) and be aware of any potential legal issues which may arise in this situation.

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.