Unlocking Financial Success: The Ultimate Handbook on Understanding Healthcare Reimbursement Models for Optimal Results
Introduction
A healthcare reimbursement model refers to a mechanism/approach by which healthcare professionals receive payment against provided medical services. There are different types of healthcare reimbursement models that exist in different countries based on their priorities. Reimbursement models have always been linked with ethical aspects. These models outline the process of healthcare compensation for medical treatment. The reimbursement model has a complete structure and a specific approach to determining the reimbursement value against the specific healthcare treatment.
Healthcare Reimbursement Models
This article will specifically discuss reputed healthcare reimbursement models. These specifically include the fee-for-service reimbursement model, capitation model, bundled payment model, pay-for-performance model, and other value-based healthcare reimbursement models. Although there are numerous healthcare reimbursement models, however, all these can be broken into two basic categories.
Traditional Healthcare reimbursement Model
Value-Based Reimbursement Model
The primary objective of all these reimbursement models is to ensure the stability of healthcare providers and patients under the specific requirements of insurance providers.