When we talk about health care financing, we are referring to the system that provides the money that pays for all health care services. The system that currently exists in the United States is complex. It is a mixture of the government paying for the largest portion of services and the remaining services are paid for by a combination of private payers (insurance companies) and individuals.
In this assignment, you will examine public (government) and private (insurance companies) payment sources and discuss how policy influences health care delivery.
Create a 10- to 12-slide presentation, including speaker notes, addressing health care payment sources and reimbursement. Include in the presentation:
An overview of Medicare and Medicaid, including what services are provided and how providers are reimbursed
An overview of private payor models, including various methods of provider reimbursement
An overview of the Patient Protection and Affordable Care Act’s (also known as PPACA or ACA) impact on health care delivery
Cite at least 3 professional references to support your assignment.
Format your citations and references according to APA guideline
Rubric
Medicare Services
15% of total grade
Accomplished
The student fully explained services provided by Medicare.
90 – 100%
Medicare Reimbursement
15% of total grade
Accomplished
The student fully described how Medicare reimburses providers for services they provide.
90 – 100%
Medicaid Services
15% of total grade
Accomplished
The student fully explained services provided by Medicaid.
90 – 100%
Medicaid Reimbursement
15% of total grade
Accomplished
The student fully described how Medicaid reimburses providers for services they provide.
90 – 100%
Private Payor Models
15% of total grade
Accomplished
The student provided a full overview of the private payor models, including various methods of provider reimbursement.
90 – 100%
ACA’s Impact on Health Care Delivery
20% of total grade
Accomplished
The student fully explained ACA’s impact on health care delivery.
90 – 100%
APA Formatting
5% of total grade
Accomplished
Citations and references were fully formatted according to APA guidelines.
90 – 100%