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 Patient Financial Responsibility Form Jennifer Wagner, MA 2018

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[Music] hi everyone today we're exploring Healthcare reimbursement models and the role of contracts in aligning financial goals with quality patient care these different models impact how providers approach care manage resources and ensure quality outcomes for patients let's look at how providers and payers collaborate to make these models work effectively in fee for service contracts providers are paid per service contracts here specify payment rates for each procedure but lack incentives for cost savings or quality improvement so providers and payers are increasingly looking to Hybrid models diagnosis related groups or drg is a reimbursement model primarily used in hospital settings especially for Medicare patients under drg hospitals receive a set payment for a specific diagnosis regardless of the actual services or length of stay required this encourages efficiency as hospitals earn more if they manage costs within the drg rate contracts often include stipulations o

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