Ans. NR533 Week 2 Discussions: Touchpoint Reflection: Reimbursement Issues

Experience

Using the data collected in Week 1 about your institution’s, provide an overview of the payer mix , delivery system type, and the population demographics. Describe the type of reimbursement system relied upon most heavily by your institution; value- or volume-based.

Reflection

Describe how these factors coalesce to influence the financing of the type and quality of care provided at your institution. What are the implications on access and availability of types of care provided at your institution?

Implications for Future

  • How is your proposed project affected by the information you’ve gathered about your facility?
  • What adjustments might you have to make in your proposal because of the information gathered?

Answer

My organization is a comprehensive care hospital linked to one of the most respected healthcare systems in the world. As of 2024, our payer mix is composed of Medicare, 55.7%, which is the majority of our patients. Managed care, which includes HMOs, PPO, and IPA, is 30.%, breaking down into Blue Cross at 8.9%, Champus at 0.2%, Commercial at 15.1%, and Medical Mutual at 6.3%. Medicaid is at 11.3%. ……………..Kindly click the purchase icon to access the full solution for $6 or WHATSAPP +254712575747