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- QUESTION
Respond to your classmate, share your thoughts on the pitfall or problem they have identified.
STUDENTS RESPONSE :For this week’s discussion I will be talking about of the problems with value-based reimbursement and how they can be resolved.
According to the Centers for Medicare and Medicaid Services website (2018) value-based reimbursement programs, “…reward health care providers with incentive payments for the quality of care they give to people with Medicare” (para. 1). The Centers for Medicare and Medicaid Services website (2018) goes on to state that, “Our value-based programs are important because they’re helping us move toward paying providers based on the quality, rather than the quantity of care they give patients” (para. 2).
However, even though these programs seem perfect, there are drawbacks. Minemyer (2016) writes, “Some physicians are concerned that the models asks too much of them…” (para. 2). Minemyer (2016) goes on to state that, “…a physician at the Arlington Free Clinic in Virginia, said that some doctors feel it will merely increase their patient load, and it makes them responsible for wellness issues that are beyond their typical scope” (para. 2). The Michigan Health Policy Forum’s website (n.d.) states that these programs will, “Inappropriately assign accountability to physicians and hospitals for services they did not deliver and cannot control, while at the same time failing to hold healthcare providers accountable for many of the services they do deliver” (para. 2).
It order to resolve these issues physicians should take a more in-depth look at the program to see if these issues are a legitimate concern or not. It seems that these concerns are may be a bit premature and that doctors should remember that if this program provides better care for their patients that is something that they need to hold on to.
1 PARAGRAPH ONLY
Subject | Nursing | Pages | 3 | Style | APA |
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Answer
Value-Based Reimbursement
My peer stated that value-based reimbursement program provides an opportunity for improvement of quality of care and highlighted some issues associated with the program. First of all, it may be the case that the program demands too much from physicians since they are accountable to patient care issues that seem beyond their scope of practice. Another presented issue is that the program seems to hold healthcare providers with aspects which may be beyond their control and may not deliver; however, aspects of care that they can control and deliver are not taken into consideration. I do find this argument doubtful since I believe that what healthcare practitioners can deliver and control contribute to realization to aspects of care that they see beyond their control such as patient satisfaction of care. My peer also highlighted that the program tends to increase the patient load, but I do not think so. In my view, just within the scope of practice, healthcare providers can readily achieve extra healthcare and patient outcomes apart from the satisfying primary healthcare needs if they communicate, deliver care, and engage patients in a certain manner. For instance, desirable healthcare and patient outcomes can be achieved through provision of patient-centered care as well as focus on evidence-based practice. My peer argued that there is need to evaluate the program with a keen eye on the grounds that it is valid if it helps to improve care for patients. According to me, this is a total disregard of what healthcare providers feel and think about the program just because it helps in delivery of better care and services. In my view, each argument should be evaluated in isolation so as to give way for specific solutions for particular issues.
References
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