A registered nurse should prefer Fee for Service.
Payment Mode Name | Summary | Strengths | Weaknesses |
Fee for Service | Under fee-for-service, the practice or physician get paid for each of the specific services delivered to a patient. The insurer is usually the one to absorb costs, including surplus.
| Individuals who would in any other situation been without insurance Medicare and Medicaid would provide coverage for those qualifying individuals.
| One of the main weaknesses is the misappropriation of resources.
|
Pay for Performance (P4P) | P4P payment model provides additional financial incentives to providers who deliver quality results. It provides a complimentary additional reimbursement when one meets given criteria. | This model rewards the hard-working employees.
| The patient may not get quality service because it is just about just meeting criteria to gain this additional financial incentive. Performance measurement is often subjective. |
patient-centered Medical Homes | In this case, patients get a direct link with a selected provider who organizes a helpfulgroup of people who takes collective responsibility for the welfare of the patient.
| It is useful for reducing cost through better coordination and improved data exchange.
| Transforming the average healthcare organization into a PCMH and achieving the official designation can be challenging. It is challenging to make a reluctant patient accept this model.
|
Accountable Care Organizations | This model is composed of hospitals and physicians who come together to provide matched high-quality attention to the patients.
| Patients received more all-inclusive care and got more choices to access.
| The privacy of the patient and the security of data are not guaranteed.
|
Bundled Payments | Health care facilities get a single payment for all the services performed to treat a patient undergoing a specific episode of care.
| Keeps the cost relatively low with the reduced price of colon and breast cancer.
| It doesn’t have accurate and trustworthy information.
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Global Budgets | For budgets, it sets aside funds for the healthcare of the population for a given period.
| It helps in reducing the total medical expense significantly.
| The provider may not provide services to the required standards. No incentives for quality service.
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For a 28-year-old with poorly controlled diabetes, Patient-Centered Medical Homes would be appropriate because professionals will coordinate his healthcare better.
To an elderly individual with multiple chronic conditions, the accountable-care organization is the best option because the patient will receive all-inclusive care.
As for a pediatric neurosurgeon, bundled payments are suitable because it factors in risks encountered by the neurosurgeon.
A registered nurse should prefer Fee for Service.