EXPERIENCE
Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Identify the key people in your organization from whom you obtained your information. Perhaps it is your unit director, operational directors, financial officers, CNOs. Your direct supervisor might be able to point you in the right direction, Since the information required is often available to the public through public reports you might also access the information through online searches of internal systems or external internet searches.
NR533 Week 1: Touchpoint Reflection Experience Table (Links to an external site.)
| Your Name’s Healthcare Organization | |
| Healthcare Delivery System (Type) | |
| Payer Mix | Percentage |
| Medicare | |
| Medicaid | |
| Managed Care | |
| HMO | |
| PPO | |
| IPA | |
| Self-pay | |
| Uninsured | |
REFLECTION
Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility?
IMPLICATIONS FOR THE FUTURE
- What might your analysis tell you about the long-term health of your community?
- What future needs might be identified?
| Healthcare Delivery System (Type) | |
| Payer Mix | Percentage |
| Medicare | 60.24% |
| Medicaid | 12.08% |
| HMO | 17.74% |
| PPO | 2.89% |
| IPA | 0.00% |
| Self-pay | 2.09% |
| Uninsured/Charity Care | 0.73% |
REFLECTION
Depending on the information provided above, the organization of ours has a top Medicare population. Population mix is mainly elderly (sixty five years of age or maybe older). We will have a population with a greater co morbidity, greater length of stay, greater percent of chronic ailments. There’s a requirement of a geriatric education and unit for the workers regarding taking………..please follow the link below to purchase the solution at $5
