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A registered nurse should prefer Fee for Service.

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A registered nurse should prefer Fee for Service.

 

Payment Mode NameSummaryStrengthsWeaknesses
Fee for ServiceUnder 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 HomesIn 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 OrganizationsThis 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 PaymentsHealth 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.

 

Global BudgetsFor 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.

 

 

 

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.

 

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