Article
What health plans need to know about Medicare Advantage financial reconciliation
What health plans need to know about Medicare Advantage financial reconciliation.
An increase in healthcare costs has led governments, health regulators and other payers to assess various options available to them to control costs. A common strategy that is implemented to mitigate the impact of rising healthcare costs is a move from fee-for-service reimbursement mechanisms to various types of bundled reimbursements, such as diagnosis-related groups (DRGs) or capitation payments. This paper considers the role of reimbursement mechanisms, and particularly DRG price adjustors, in directing general policy and specifically in the role of value-based healthcare.
Article
What health plans need to know about Medicare Advantage financial reconciliation.
The role of reimbursement mechanisms and payment adjustors in value-based healthcare
This paper considers the role of reimbursement mechanisms, and particularly diagnosis-related groups price adjustors, in directing general policy and specifically in the role of value-based healthcare.