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A healthcare organization is negotiating a health insurance plan based on healthcare quality outcomes. What type of purchasing strategy are they applying?

Select one:
a. value-based purchasing
b. pay for performance purchasing
c. outcomes-based purchasing
d. None of the choices are correct.

User Lud
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1 Answer

4 votes

Final answer:

A healthcare organization negotiating a health insurance plan based on healthcare quality outcomes is applying an outcomes-based purchasing strategy. This approach links reimbursement to the quality and efficiency of care provided.

Step-by-step explanation:

The healthcare organization is employing a purchasing strategy that emphasizes the quality of healthcare outcomes. Among the options provided, the correct answer is c. outcomes-based purchasing. This strategy shifts the focus from the volume of care provided, as seen in traditional fee-for-service models, to the quality and efficiency of care. Outcomes-based purchasing incentivizes healthcare providers to deliver high-quality care by tying reimbursement to patient health outcomes. This approach is part of a broader movement towards value-based care, which seeks to optimize the ratio of healthcare outcomes to costs. Healthcare organizations negotiate with insurers to develop compensation models that reward positive results, such as lower readmission rates, improved management of chronic diseases, and overall patient satisfaction.

User Rijnhardt
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