Question

4. Briefly discuss the reasons payers are seeking new payment approaches for health care services and characterize the ideal solution. (4 pts) 5. Give a simple explanation of the way health insurance

Answer 1

Payers are seeking new payment approaches for health care services to address rising costs, promote value-based care, and improve access. The ideal solution is a payment approach that rewards high-quality, cost-effective care and promotes better health outcomes.

Step-by-step explanation:

Payers are seeking new payment approaches for health care services for several reasons:

1. To address the rising costs of health care and reduce inefficiencies in the system. For example, fee-for-service payment models can incentivize providers to perform unnecessary services, leading to higher costs.
2. To promote value-based care and improve patient outcomes. Payers are increasingly interested in paying for high-quality care that delivers better results for patients.
3. To address issues of equity and access to care. Some payment approaches aim to ensure that patients, especially those with chronic diseases or low incomes, have access to necessary health care services.

The ideal solution to these issues would be a payment approach that rewards high-quality, cost-effective care and promotes better health outcomes for patients. This may involve alternative payment models such as bundled payments, accountable care organizations (ACOs), or capitation, where providers are paid a fixed amount per patient.