This is a benchmark assignment.

To complete this assignment, do the following:

Review the media on health care reform http://lc.gcumedia.com/zwebassets/courseMaterialPages/nur508_healthcare-reform-video-series-v1.1.php

Write a paper of 750 words, not including the title and References page,that analyzes the need for health care reform.

Include the following in your paper:

1.       Identify concerns about cost, quality, and access to the current U.S. health care system.

2.       Answer the question: Is the current health care system an example of market failure that requires government intervention?

3.       Describe different proposals for change from both political parties.

4.       Summarize key elements of reform that are needed from the perspective of the author of the source used.

Cite a minimum of three references to support your rationale.

Prepare this assignment according to the guidelines found in the APA Style Guide.

Select a provider or health care facility coder/biller to interview and review the process they go through to satisfy reimbursement requirements for billing purpose.

RESOURCES:

1. Arizona Center With Trauma Focus Moves to Up-Front Pricing Model

Read “Arizona Center With Trauma Focus Moves to Up-Front Pricing Model,” from Alcoholism & Drug Abuse Weekly (2012).

2. Empowering Leaders and Consumers Through Simplified Pricing

Read “Empowering Leaders and Consumers Through Simplified Pricing,” by Clarke, from H&HN: Hospitals & Health Networks (2009).

3. Health care, the Price System and the Conflict Between Access to Care and Cost-Containment

Read “Health Care, the Price System and the Conflict Between Access to Care and Cost-Containment,” by Paschall, from Journal of Economic Issues (2009)

4. Payment Change: 3 Ways to Set Your Course for Success

Read “Payment Change: 3 Ways to Set Your Course for Success,” by Nugent, from Healthcare Financial Management (2010)

5. Payment Incentives and Integrated Care Delivery: Levers for Health System Reform and Cost Containment

Read “Payment Incentives and Integrated Care Delivery: Levers for Health System Reform and Cost Containment,” by Korda and Eldridge, from Inquiry (20

6. Pricing Medicare Services

Read “Pricing Medicare Services,” by Baltic, from Managed Healthcare Executive (2013)

7. Pricing Strategies for Diagnostic and Treatment Services

Read “Pricing Strategies for Diagnostic and Treatment Services,” by Cavitt, from Audiology Online, 1 (201

8. The Potential Impact of Healthcare Payment Reform Models on Medical Device Pricing and Utilization

Read “The Potential Impact of Healthcare Payment Reform Models on Medical Device Pricing and Utilization,” by Sung, Scannell, Clive, and Savant, from Black Book – The Long-View: 2010 Edition – Pan-European Perspective (20120

PLEASE FOLLOW THE RUBRIC

Write a paper of 750-1,000 words that describes the processes that are utilized in producing a final bill. Include in the paper:

1.       How health care charging and pricing processes are different from those in other industries.

2.       How private and government insurers and payers impact actual reimbursement.

3.       Cite a minimum of three references to support your rationale.

Prepare this assignment according to the guidelines found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successfulcompletion.

You are required to submit this assignment to Turnitin.