NR 552 Week 4 Assignment
Medicare Vs PPO Payment Models
Purpose: The purpose of this assignment is to:
- compare and contrast two insurance plans payment models at a specified level of healthcare service (one governmental plan and one private plan),
- examine the patient population served by each insurance plan,
- investigate the impact of each payment plan on access to care, access to services or procedures, and patient outcomes,
- evaluate both insurance payment plans for economic, social, or ethical issues,
- present ideas in a clear, succinct and scholarly manner.
Due Date: Submit at the end of Week 4.
Requirements:
- Choose a level of care (primary, secondary, tertiary) to investigate payment models.
- … government provided insurance plan to investigate (Medicare, Medicaid).
- Choose any private insurance plan to investigate.
- Discuss the patient population each insurance plan represents.
- Define the payment models of the two insurance plans (government and private) when paying for services at the level of care you have chosen to review.
- Discuss the possible impact of each insurance payment model on access to care or choice of provider or facility.
- ……. insurance payment model on access to healthcare services or procedures.
- Discuss the possible impact of each insurance payment model on patient outcomes.
- Describe any economic, social or ethical issues that arise from having one insurance plan over another.
- The body of the scholarly paper is to be 3-5 pages in length excluding title and reference pages.
- Grammar, spelling, punctuation, references, and citations are consistent with formal academic writing and APA format as expressed in the 6th edition
- Include a minimum of three scholarly resources published within the past 5 years not including your textbook. References may include scholarly websites of organizations or government agencies and must be presented using APA format for electronic media.
