Reimbursement & Financing Issues

Reimbursement & Financing Issues

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Requirements: 500 words

 

Answer preview

Reimbursement in nursing involves the payment received by hospitals, and other healthcare providers receive for providing medical services. In the United States, it is a complex system involving several stakeholders, particularly health care providers, payers, and beneficiaries (Baker, Baker, & Dworkin, 2018). Unlike in other industries where reimbursement is straightforward, in nursing, it is a bit complicated, a month-long process with multiple steps being followed to the later. Reimbursement has evolved over the years, applying a variety of payment mechanisms with varying degrees of effectiveness. Some of the mechanisms used in payment include Fee-for-service (FFS), capitation, Pay-for-performance (P4P), and diagnosis-

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