Health Care Reimbursement Methodologies And Current Practices In a 4–5 page research paper, address the following issues regarding health care reimbursemen

Health Care Reimbursement Methodologies And Current Practices In a 4–5 page research paper, address the following issues regarding health care reimbursement methodologies. Refer to the readings in the Resources and gather other professional or scholarly resources. The Capella library is a recommended starting point.

Describe and analyze current practices in health care reimbursement.
Discuss the evolution of health care reimbursement practices.
Based on the current literature of the field, describe health care reimbursement models, including:
Capitation.
Fee for service.
Aggregated caps.
Consumer self-pay.
Compare methods of policy change that impact reimbursement.
Assess one specific current initiative related to the role of government in reimbursement structures.
Offer a prediction of the future of health care reimbursement, in terms of the government’s role in reimbursement structures.
ADDITIONAL REQUIREMENTS
Written communication: Written communication should be free of errors that detract from the overall message.
APA formatting: References and citations should be formatted according to APA (6th edition) style and formatting.
Resources: A minimum of 4 references.
Paper length: 4–5 pages.
Font and font size: Times New Roman, 12-point.
Library Resources
Gragg, E. (2006, March/April). Health insurance options for small and midsize organizations. Office Solutions, 23(2), 26–28.
Saphir, A. (2000, August). More than numbers. Modern Healthcare, 30(35), 26–27.
Sclafane, S. (1998, October). Insurance deals near $135 billion. National Underwriter, 102(42), 37.
Wirtz, R. A. (2006, January). Cash, check or third party? Fedgazette, 18(1), 4–6.
Gapenski, L. C., & Pink, G. H. (2015). Understanding healthcare financial management (7th ed.). Chicago, IL: Health Administration Press.
Gapenski, L. C., & Pink, G. H. (2013). Cases in healthcare finance (5th ed.). Chicago IL: Health Administration Press. Health Care Reimbursement Methodologies Scoring Guide
CRITERIA
NON-PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Analyze current practices in
health care reimbursement.
Does not describe current
practices in health care
reimbursement
Describes current practices Analyzes current practices
in health care
in health care
reimbursement
reimbursement
Provides an in-depth
analysis of current
practices in health care
reimbursement. Relates the
practices to his or her
professional experience or
knowledge of the field.
Discuss the evolution of health
care reimbursement practices.
Does not identify
milestones in the evolution
of health care
reimbursement practices
Identifies milestones in the
evolution of health care
reimbursement practices
Discusses the evolution of
health care reimbursement
practices.
Assesses the evolution of
health care reimbursement
practices and supports the
assessment with academic
literature.
Describe health care
reimbursement models.
Does not identify health
care reimbursement
models
Identifies health care
reimbursement models.
Describes health care
reimbursement models.
Analyzes health care
reimbursement models and
provides relevant real-world
examples for support.
Compare methods of policy
change that impact
reimbursement.
Does not identify methods
of policy change that
impact reimbursement
Identifies methods of policy compares methods of
change that impact
policy change that impact
reimbursement
reimbursement
Assesses methods of policy
change that impact
reimbursement, providing
relevant supporting
evidence from the literature
and field examples
Assess a current initiative Does not describe a current Describes a current
related to the role of government initiative related to the role initiative related to the role
in reimbursement structures.
of government in
of government in
reimbursement structures reimbursement structures.
Assesses a current
initiative related to the role
of government in
reimbursement structures
Evaluates a current
initiative related to the role
of government in
reimbursement structures,
providing relevant
supporting evidence from
the literature.
Predict the future of health care
reimbursement, in terms of the
government’s role in
reimbursement structures.
Does not discuss the future Discusses the future of
of health care
health care reimbursement,
reimbursement, in terms of in terms of the
the government’s role in government’s role in
reimbursement structures reimbursement structures.
Predicts the future of health Predicts the future of health
care reimbursement, in care reimbursement, in
terms of the government’s terms of the government’s
role in reimbursement role in reimbursement
structures
structures. Supports the
prediction with relevant
evidence that convinces the
reader of plausibility and
makes clear the benefits
and risks to the health care
system.
Write clearly with sound
structure and without spelling,
grammatical, and syntax errors,
adhering to APA format.
Writes without structure
and with many spelling,
grammatical, and syntax
errors, and does not
adhere to APA format.
Writes with sufficient errors
to detract from the
message, exhibits poor
structure, has many
spelling, grammatical and
syntax errors, or irregularly
adheres to APA format
requirements.
Writes clearly with sound
structure and without
spelling, grammatical, and
syntax errors, adhering to
APA format
Writes in an exceptionally
clear manner with superior
structure and without
spelling, grammatical, and
syntax errors. Adheres to
APA format and uses a
scholarly tone
Communicate in a manner that
is professional and consistent
with expectations for members
of the business professions.
Communicates in a manner
that is not professional or
consistent with
expectations for members
of the business profession.
Communicates in a manner
that is inconsistent with
expectations for members
of the business profession.
Communicates in a manner
that is professional and
consistent with
expectations for members
of the business profession
Communicates in a manner
a
that is professional
scholarly, and consistent
with expectations for
members of the business
profession

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