Reimbursement Models

Reimbursement Models

Topic: Reimbursement Models

Details: Several of the Vila Health’s stakeholders are seeking clarification regarding new reimbursement models they have been hearing about recently. For this assignment, you will prepare a two-page memorandum outlining the differences between the new reimbursement models and prior, traditional models for stakeholders.
In your response, include the following:
Description of the old model, such as capitated payments, fee-for-service, or others.
How was quality monitored under these models?
How was quality rewarded under these models?
Description of the new model, such as value-based, accountable care organizations, or others.
How is quality monitored under these models?
How is quality rewarded under these models?
Compare and contrast the traditional and new models.
Explain reasons for the new model. Examples include rising costs of health care, policy changes, triple aim, et cetera.
Finally, after reviewing Vila Health’s recent problematic patient case, describe how the care provided would be reimbursed under prior models versus reimbursement under newer models. Identify quality issues that will likely impact the organizations reimbursement under new payment models.
Support your findings with at least two peer-reviewed sources.

Solution Preview

Subject: Clarification regarding the new model of reimbursement

Fee for service is a reimbursement model in healthcare where healthcare providers and doctors are paid depending on the quantity of healthcare services offered. In this model, healthcare providers receive payment every time a patient has an appointment with the physicians and for every visit,

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