Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Identify the key people in your organization from whom you obtained your information. Perhaps it is your unit director, operational directors, financial officers, CNOs. Your direct supervisor might be able to point you in the right direction, Since the information required is often available to the public through public reports you might also access the information through online searches of internal systems or external internet searches.
NR533 Week 1: Touchpoint Reflection Experience TableLinks to an external site.
Your Name’s Healthcare Organization
Healthcare Delivery System (Type)
Payer Mix
Percentage
Medicare
Medicaid
Managed Care
HMO
PPO
IPA
Self-pay
Uninsured
Reflection
Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility? (Please note, i work for the State of California in a Men’s Correctional Facility-CDCR/CCHCS).
Implications for the Future
What might your analysis tell you about the long-term health of your community?
What future needs might be identified?
Understanding how your organization is reimbursed for services depends on severa
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