Payments for Health Services Providers

Payments for Health Services Providers (125 points)

Insurance is based on pooling of losses, payment for random losses, risk transfer, and indemnification. As a result, insurers use several different approaches to mitigate their risk and set premium rates, including:

the fee-for-service method

the cost-plus approach

population health – capitation

For your assignment, evaluate two global payment systems within healthcare and address each of the following items:

Define the structure of the payment systems.

Identify risk to loss of revenue in each system.

Describe advantages and disadvantages of each system.

Identify how pay for performance can be added to each payment system.

Requirements:

Your paper should be four to five pages in length, not including the title and reference pages.

You must include a minimum of four credible sources. Use the Saudi Electronic Digital Library to find your resources.

Your paper must follow Saudi Electronic University academic writing standards and APA 7th edition requirements, as appropriate.

You are strongly encouraged to submit all assignments to the Turnitin Originality Check prior to submitting them to your instructor for grading. If you are unsure how to submit an assignment to the Originality Check tool, review the Turnitin Originality Check Student Guide.