Among the changes "fee-for-service" reimbursement would be a major change, as under this clause doctors and hospitals got paid by the insurance company for each patient appointment and procedure. Tarwater wants to make this a value based system where health care providers will be paid to keep people healthy. The payment could be one time irrespective of the number of appointments or procedures needed.
Under fee-for-service, if a patient is treated and then returns to the hospital, "everybody who sees that patient again would get paid again," Tarwater said. Recently, Medicare, the federal health program for seniors, had stopped paying hospitals when patients with certain conditions, such as heart attack and pneumonia, were readmitted within 30 days.
Healthcare Insurance-Common Terms and Definitions
The key to understanding health Insurance is to become an informed consumer by knowing its definitions, terms and conditions before you plan to buy it.
The key to understanding health Insurance is to become an informed consumer by knowing its definitions, terms and conditions before you plan to buy it.
"Some re-admissions are preventable, but some re-admissions are not," Tarwater said. "The transition is not easy....It's not going to happen overnight."
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Quiz on Health Insurance
This Quiz is to test your knowledge on health insurance in the U.S, there is so much activity with the new law and building of Health Exchanges – all peaking for a January 2014 deadline.
This Quiz is to test your knowledge on health insurance in the U.S, there is so much activity with the new law and building of Health Exchanges – all peaking for a January 2014 deadline.
"We've been doing this since October," he said. "We get paid one price for the work we do....Private practice physicians should not be standing on the sidelines waiting for health care to be reformed."
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Karen Garloch, August 2014
Hannah Punitha (IRDA Licence Number: 2710062)
Source-Medindia
