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Payments for Health Services Providers
Insurance is based on pooling of losses, payment for random losses, risk transfer, and indemnification. As a result, insurers use several different approaches to mitigate their risk and set premium rates, including:
the fee-for-service method
the cost-plus approach
population health – capitation
—–evaluate two global payment systems within healthcare and address each of the following items:
Define the structure of the payment systems.
Identify risk to loss of revenue in each system.
Describe advantages and disadvantages of each system.
Identify how pay for performance can be added to each payment system.
Requirements:
Your paper should be five to six pages in length, not including the title and reference pages.
You must include a minimum of four credible sources.
Your paper must follow APA 7th edition requirements, as appropriate.