week 4 233
Unit 4 Assignment – Managed Care Reimbursement Methods
Submit Assignment
- Due Aug 4 by 11:59pm
- Points 100
- Submitting a text entry box,
a website
url, a media recording, or a file upload
Managed
care
is a system of
health
care delivery that aims to provide a generalized structure and focus when managing the use, access, cost, quality, and effectiveness of health care services. There are various ways in which the managed care organization reimburses hospitals for their services. Examples of Managed Care Reimbursement Methods include the following:
- Percent-of-charge payment
- Per diem payment
- Case rate payment (DRGs and MS-DRGs)
- Ambulatory Patient Grouper (APG)
- Ambulatory Payment Classification (APCs)
- Other types of reimbursement (carve-out, stop-loss, and withhold pools)
Instructions
- Create a Venn Diagram (with a minimum of 4
points
) to compare and contrast two of the Managed Care Reimbursement methods listed above. - Review the video “How to Create a Venn Diagram in Word and PowerPoint” in Supplemental Resources prior to completing this part of the assessment.
- Summarize your findings in a one-page paper. In your summary, explain how each method is different and provide an example of when it is appropriate for an organization to use each method.
- Submit both parts of this assessment in the same document.
Rubric
Unit 4 Assignment – Managed Care Reimbursement Methods
| Criteria | Ratings | Pts | ||||||
|---|---|---|---|---|---|---|---|---|
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This criterion is linked to a Learning OutcomeTopic |
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10.0 pts |
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This criterion is linked to a Learning OutcomeExisting Knowledge, Research, and/or Views |
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15.0 pts |
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This criterion is linked to a Learning OutcomeContent |
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15.0 pts |
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This criterion is linked to a Learning OutcomeAnalysisPRICE-P |
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15.0 pts |
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This criterion is linked to a Learning OutcomeConclusion |
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20.0 pts |
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This criterion is linked to a Learning OutcomeLimitations and Implications |
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15.0 pts |
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This criterion is linked to a Learning OutcomeWriting |
|
5.0 pts |
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This criterion is linked to a Learning OutcomeAPAPRICE-I |
|
5.0 pts |
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Total Points: 100.0 |
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