If government payers such as Medicare and Medicaid reimburse hospitals for less than the cost of caring for their beneficiaries, how are hospitals able to stay in business? How can commercial payers incentivize hospital to follow rules towards better care for the patient? 2. Is the quality of care different in a for-profit versus not-for-profit hospital? What differences in services might occur during or after a stay in a for-profit versus not-for-profit hospital? Think RVU. 3. Why is it important for a health informatics professional to understand a financial statement, budgets, Net Bad Debt (NBD) and other financial measures? 4. Why do HMO plans offer less patient flexibility in terms of the choice of provider? In this case, what plan is most suitable for this patient? 5. What are the costs to the provider in this case? What role might HIM professionals have in the investigation of expense/cost management? 6. What are some of the technologies being used in this case?

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Heres a breakdown of the questions 1 Hospital Reimbursement and Incentives Challenge Hospitals lose money on MedicareMedicaid patients because reimbursement is below the cost of care How Hospitals Sta... View the full answer