A. Monetary Valuation The analysis estimates that the following benefits are wor

A. Monetary Valuation
The analysis estimates that the following benefits are wor

A. Monetary Valuation
The analysis estimates that the following benefits are worth $200 billion:
• Direct medical costs averted
• Valuation of quality of life gained due to non-fatal heart attacks averted
• Valuation of life years gained due to fatal heart attacks averted
Next, the analysis estimates that cost to the industry and consumers is $17 billion.
1. Calculate the net benefits. 200-17=183
2. What does the value tell you as an administrator relative to the benefit of the procedure?
Part B. Reimbursement Methods
Answer the following questions:
• What are the various reimbursement methods used by third-party payers?
a. FEE FOR SERVICE
b. CHARGE-BASED REIMBERSEMENT
c. PERSPECTIVE PAYMENT
d. CAPTATION
e. OUT OF POCKET
• What incentives are given to providers under each of these reimbursement protocols?
a. CAN BE POSITIVE OR NEGATIVE-DISCUSS PROS AND CONS-EFFECTS ON PATIENTS VS PROVIDERS
• How do these reimbursement methods impact the delivery of health services?
b. CAN BE POSITIVE OR NEGATIVE-DISCUSS PROS AND CONS-EFFECTS ON PATIENTS VS PROVIDERS
• What is capitation?
a. DISCUSS WITH DETAILS-PROS & CONS- COMPARE & CONTRAST TO 1 OTHER METHOD
• What are the advantages and disadvantages of each of these reimbursement methods?

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