BHA FPX 4009 Assessment 2 Reimbursement Options Part 2 – Payment Options for Uninsured Patients Identifying and Explaining Payment Options for Uninsured
Part 2 – Payment Options for Uninsured Patients
Identifying and Explaining Payment Options for Uninsured
Medicaid provides coverage for low-income individuals and families (Casto, 2019A). Despite efforts to expand insurance coverage, options like Medicaid remain crucial for the uninsured (Rosenthal et al., 2016). Additionally, financing options and self-pay discounts are available. Financing companies may offer payment plans based on income, while self-pay patients can negotiate discounted rates (Lamberti, 2021).
Conclusion
Healthcare reimbursement models significantly impact patient care and organizational finances (Casto, 2019A). Understanding these models is essential for optimizing service delivery and reimbursement. While traditional models persist, there’s a shift towards performance-based models to enhance quality and control costs (Rosenthal, 2007).
References
Cannon, R. B., Shepherd, H. M., McCrary, H., et al. (2018). Association of the Patient Protection and Affordable Care Act with Insurance Coverage from Head and Neck Cancer in the SEER Database. JAMA Otolaryngology Head Neck Surg. 144(11). Retrieved from https://pubmed.ncbi.nlm.nih.gov/30242321/
Casto, A. B. (2019A). Chapter 1, “Healthcare Reimbursement Methodologies.” Principles of healthcare reimbursement (6th ed.). AHIMA Press. Pages 1-19.
Casto, A. B. (2019B). Chapter 7, “Ambulatory and Other Medicare-Medicaid Reimbursement Systems.” Principles of healthcare reimbursement (6th ed.) AHIMA Press. Pages 139-194.
DeVries, T. (2019). RBRVS Overview. MD Management Group. Retrieved from https://mdmanagementgroup.com/rbrvs-overview/
BHA FPX 4009 Assessment 2 Reimbursement Options
Part 2 – Payment Options for Uninsured Patients
Identifying and Explaining Payment Options for Uninsured
Medicaid provides coverage for low-income individuals and families (Casto, 2019A). Despite efforts to expand insurance coverage, options like Medicaid remain crucial for the uninsured (Rosenthal et al., 2016). Additionally, financing options and self-pay discounts are available. Financing companies may offer payment plans based on income, while self-pay patients can negotiate discounted rates (Lamberti, 2021).
Conclusion
Healthcare reimbursement models significantly impact patient care and organizational finances (Casto, 2019A). Understanding these models is essential for optimizing service delivery and reimbursement. While traditional models persist, there’s a shift towards performance-based models to enhance quality and control costs (Rosenthal, 2007).
References
Cannon, R. B., Shepherd, H. M., McCrary, H., et al. (2018). Association of the Patient Protection and Affordable Care Act with Insurance Coverage from Head and Neck Cancer in the SEER Database. JAMA Otolaryngology Head Neck Surg. 144(11). Retrieved from https://pubmed.ncbi.nlm.nih.gov/30242321/
Casto, A. B. (2019A). Chapter 1, “Healthcare Reimbursement Methodologies.” Principles of healthcare reimbursement (6th ed.). AHIMA Press. Pages 1-19.
Casto, A. B. (2019B). Chapter 7, “Ambulatory and Other Medicare-Medicaid Reimbursement Systems.” Principles of healthcare reimbursement (6th ed.) AHIMA Press. Pages 139-194.
DeVries, T. (2019). RBRVS Overview. MD Management Group. Retrieved from https://mdmanagementgroup.com/rbrvs-overview/