Overview
Healthcare organizations such as Choice Hospital must keep up-to-date with new initiatives related to reimbursement by third-party payers for services provided. This is especially true for Medicare reimbursement and initiatives tied to legislation, such as the Affordable Care Act and the 21st Century Cures Act.
You are working with the chief financial officer and his team on two types of statistics related to Medicare reimbursement initiatives, as follows:
- Medicare spending per beneficiary (MSPB)
- Hospital readmission rates
You will be working with the finance team to prepare a presentation for the chief executive officer (CEO) and the executive leadership team to help them understand these requirements. Your presentation should be 5–7 slides (100–150 words per slide, not including the title and reference slides) with APA formatting. Cite at least 2 scholarly reference articles or government publications published within the last 3–5 years. Your presentation should address the following for both the MSPB and hospital readmission rate statistics:
- Describe the Medicare program or initiative that uses the statistic.
- Is it an incentive- or penalty-type program related to the Medicare reimbursement rate?
- Are the statistics and the program or initiative tied to performance, such as improving quality of care? If so, how?
- Which legislation authorizes the Centers for Medicare and Medicaid Services (CMS) to initiate these programs?
- Define the statistic and how it is calculated.
- Provide examples of these statistics from publications or government sites. For many of the CMS initiatives, data for healthcare institutions are made available through the CMS Hospital Compare Web site.
Cite all references using APA formatting.
Refer to this PPT template for help with your assignment: Presentation Example Template.
Please submit your assignment.
For assistance with your assignment, please use your textbook and all course resources.
| Expectation | Points Possible | Points Earned | Comments |
Described the Medicare program or initiative that uses the statistic and determined whether it is an incentive- or penalty-type program related to MSPB | 25 | ||
Discussed the statistics for the program or initiative tied to performance, such as improving quality of care | 30 | ||
Explained which legislation authorizes the CMS to initiate these programs | 30 | ||
Defined the statistic used and how it was calculated | 30 | ||
| Professional Language: Assignment contains accurate grammar, spelling, and punctuation, with few or no errors. (APA formatting or the style specified in the assignment is required.) | 10 | ||
Total Points | 125 | ||
Total Points Earned |