Description
Payments for Health Services Providers (110 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 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 Originality Check prior to submitting them to your instructor for grading.
Discussion 10
Description
10 points
Rubric Detail
Levels of Achievement
Criteria
Exceeds Expectations
Meets Expectations
Some Expectations
Unsatisfactory
Quantity
2.5 Points
2 Points
1.5 Points
0 Points
Initial post and two other posts
of substance.
Initial post and one other post
of substance.
Initial post only.
Did not
participate.
2.5 Points
2 Points
1.5 Points
0 Points
Demonstrates excellent
knowledge of concepts, skills,
and theories relevant to the
topic.
Demonstrates knowledge of
concepts, skills, and theories.
Demonstrates satisfactory
knowledge of concepts,
skills, and theories.
Did not
participate.
2.5 Points
2 Points
1.5 Points
0 Points
Discussion post(s) exceed
expectations in terms of
support provided and extend
the discussion.
Discussion post(s) meet
expectations in terms of
support provided.
Statements are satisfactory
in terms of support
provided.
Did not
participate.
2.5 Points
2 Points
1.5 Points
0 Points
Writing is well organized, clear,
concise, and focused; no errors.
Some significant but not major
errors or omissions in writing
organization, focus, and clarity.
Numerous significant errors
or omissions in writing
organization, focus, and
clarity.
Did not
participate.
Content
Support
Writing
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