Assess the differences in benefits and costs, which are available to Medicare patients based upon the patent selecting either the “Traditional” Medicare program or Medicare Part C (Advantage Plan). Once a patient makes a choice, is he or she locked into the choice?
Evaluated at least two valuable elements to both programs and two negative elements to both programs.
Demonstrate which program would be more attractive to a physician and to a hospital as well as why.
Discuss Capitation and evaluate if either program reimburses using a capitation model.
Resources: Use these and others from the library.
Berenson, R. A., Sunshine, J. H., Helms, D., & Lawton, E. (2015). Why medicare advantage plans pay hospitals traditional medicare prices. Health Affairs, 34(8), 1289-1295. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1377/hlthaff.2014.142