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This question is about forms of reimbursement. It has several parts. Please addr

ID: 240507 • Letter: T

Question

This question is about forms of reimbursement. It has several parts. Please address every part of this question and number your responses (#1, #2, #3, etc.). 1·For 1 point. Define "fee-for-service" using 1 sentence. 2. For 1 point: Define "pay-for-performance" using 1 sentence. 3. For 2 points: State 1 strength and 1 weakness of the "fee-for-service" model. 4. For 2 points: State 1 strength and 1 weakness of the "pay-for-performance" model. 3. For 4 points: Which type of reimbursement method is better, AND WHY? This question is asking for your opinion, which cannot be "right" or "wrong", but you will be graded on how well you defend your answer. Fully explain WHY you are making the choice that you are making. This should be AT LEAST 2 sentences, but likely you will need more to explain your position. This question is assessing your ability to build an argument, and it is worth 4 points, do not take this lightly.

Explanation / Answer

1. Fee For Service

A method in which doctors and other health care providers are paid for each service performed. Examples of services include tests and office visits.

2. Pay-for-performance

is an umbrella term for initiatives aimed at improving the quality, efficiency, and overall value of health care.

3.Stengths of a Fee-For-Service

Weakness of a Fee-For-Service (Indemnity) Health Insurance Policy

4. Strengths of Pay-for-performance

    helps an employer differentiate between the performance of high and low performing employees and reward the performance of the higher performers. This is a retention effort because no employer wants to lose the organization's best performers.

Weakness

There is no way, with 100 percent accuracy, to differentiate the performance of various employees to determine who is most deserving of merit pay. The most desirable accomplishments and contributions are almost never measurable so the manager's or supervisor's opinion remains a constant in determining merit pay. If you use only items hat you can measure, you're not considering the most important aspects of your employees' jobs.

Pay for performance is much better in now a days setup of specialization and availability of number of doctors at reach.

It is trending that performance is based on quality, so quality is paid well.

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