CDHPsA new type of third-party-reimbursement healthcare .docx

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CDHPs A new type of third-party-reimbursement healthcare payment plan is emerging in the United States. CDHPs strive to control costs and improve quality of care by requiring consumers to take control of their own healthcare decisions. Consumers decide how they want to spend their healthcare dollars, depending on what is important to them. CDHPs are geared to encourage participants to enroll in some type of wellness program and improve their lifestyles. Specific types of CDHPs are health reimbursement accounts (HRA), flexible spending accounts (FSA), and health savings accounts (HSA). However, there are concerns about CDHPs. The consumer may neither understand nor have the education and the tools to manage his or her own healthcare appropriately. This may have long-term ramifications on the whole healthcare system and whether CDHPs can be successful for the consumer, the employer, the physician, and the healthcare facilities, as well as the insurers. Answer the following questions in regard to this development: Are CDHPs more geared toward the healthier and younger population? Are they effective for patients with chronic illnesses? Will they discourage the use of preventative care and cause increased healthcare costs in the future? After examining the above questions in your analysis, work around the following instructions and create a 8- to 10-page Microsft Word document: Summarize the history of when, how, and why CDHPs were developed. Explain HSA, HRA, and FSA with examples. Examine different segments of the population. Describe which socioeconomic group is likely to benefit the most from CDHPs. Explain the types of incentives to providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the CDHP. Offer your recommendations for patients considering a CDHP, including which types are appropriate for which patients. Include your recommendations for each, to accept or decline, and also include your rationale behind such recommendations. Support your responses with examples. Cite any sources in APA format. . .

Education

Examine different segments of the population. Describe which
socioeconomic group is likely to benefit the most from CDHPs.
Explain the types of incentives to providers for efficiency in the
delivery of healthcare services. Explain who bears the financial
risk—the provider, the patient, or the CDHP.
Offer your recommendations for patients considering a CDHP,
including which types are appropriate for which patients.
Include your recommendations for each, to accept or decline,
and also include your rationale behind such recommendations.
Support your responses with examples.
Cite any sources in APA format.
.

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Peer response’s # 2 Rules: Please try not to make the responses super lengthy, contribute one fact AND include references HMGT 420 · Wk#3 Talar posted Jun 4, 2016 11:57 PM Patients who have complex health needs require not only medical. But also social services and support from a variety of caregivers and providers. Facility managers who are part of care coordination could assist patient in receiving optimal care by addressing the challenges in coordinating care for these patients, and offer programmatic changes and policies that help deliver the best services to all patients. Facility managers can come up with strategic plans based on prior data and make necessary changes based on preexisting conditions. “Patient- centered, comprehensive, coordinated, and accessible care that continuously improved through a systems-based approach to quality and safety” (AHRQ, 2012) are what’s needed to achieve the highest quality care possible in any health care facility. Patient centered care can’t be achieved with providers only. It requires team work and collaboration among all stakeholders. To improve the quality and safety of patients, health care facility managers can work hand and hand with the coordinated team to provide a system based approach by drawing on decision-support tools, taking into account patient experience, and using population health management approach. Patient preference and needs on what aspects of care to be improved. Respond to Talar here: · Vanscoy, Week 3 Sarah posted Jun 5, 2016 11:07 AM As a facility manager, and part of the care coordination team, I would look into models of care that would assist our situation. With the Affordable Care Act in place, there are accountable care organizations (ACOs), which provide models of care (“Promise,” 2013). There are many different definitions and perspectives on care coordination, but all lead to the goal of meeting patient needs and providing adequate healthcare (“Care,” 2014). Care coordination is essential because each patient can interact with a variety of professionals each visit. For example, for a routine physical appointment, the patient could meet with the scheduling staff, medical assistants, nurses, doctors, pharmacists, and the billing staff. If each one of these member fails to coordinate as a whole, the patient could be harmed or neglected. As a care coordinator, I would be responsible for discussing an individualized care plan with each patient and ensuring that they understand their responsibilities. All barriers should be identified, such as financial, social (language), psychological, and anything that would effect the patient from following their correct plan of care and interacting with the staff (“Promise,” 2013). Another key point is to ensure the medical staff has reviewed the patient’s medical records and ensure that everyone is on the same page. These are just a few examples, because each case is different and each patient will have different needs. .

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