1. What are integrated delivery systems, how are they created, and what is the driving force behind them? What challenges do integrated delivery systems face? (approach this question from a financial perspective) Integrated delivery systems are described as one organization that offers a broad range of healthcare services in a cohesive manner. Integrated delivery systems may have a single owner but they can have multiple owners. If they are multiple owners, the systems will be joined together by contracts and agreements. The systems can be formed by managed care plans or directly by employers. According to the text they are more commonly formed by providers trying to facilitate contracts with plans or employers. The driving force is …show more content…
(2015). Understanding Healthcare Financial Management, Seventh Edition, Health Administration Press, Chicago, IL Boone, B. (2000, June). International Risk Managment Institute. Retrieved February 6, 2017, from Integrated Health Care Delivery Systems' Challenges: https://www.irmi.com/articles/expert-commentary/integrated-health-care-delivery-systems-challenges 2. What are the major differences between investor-owned and non-for-profit corporations? Not for profit corporations/businesses is tax exempt. Investor-owned companies do pay taxes at the local, state and federal level. Investor owned companies are also well defined and the take votes by share and stakeholders to decide the interest of the company. Not for profit do not have shareholders and they are controlled by the board of trustees. Gapenski, Louis C. (2015). Understanding Healthcare Financial Management, Seventh Edition, Health Administration Press, Chicago, IL Horty, J., & Mulholland III, D. (1983). Legal Differences Between Investor-Owned and Nonprofit Health Care Institutions. Bethesda: National Center for Biotechnology Information,. 3. What pressures have been placed on non-for-profit hospitals to ensure that they meet their charitable …show more content…
What is the major difference between financial risks to providers of fee-for-service and capitation? The difference between the risks to providers that utilize the fee-for-service model and the capitation model is fee-for-service patients only pay for services that have been provided. Capitation based models is a fixed payment for each patient even if the patient has not used the services provided. The difference between the risks to providers that utilize the fee-for-service model and the capitation model is fee-for-service patients only pay for services that have been provided. Capitation based models is a fixed payment for each patient even if the patient has not used the services provided. Gapenski, Louis C. (2015). Understanding Healthcare Financial Management, Seventh Edition, Health Administration Press, Chicago, IL 8. What is the aim of a P4P program designed by an insurer? The aim of a P4P program designed by an insurer is to increase quality or increase productivity among their contract providers. They may also it to control reimbursement of staff. Also depending on the programs goals they will use these four dimensions to measure. They are outcome, process, patient satisfaction and structure. Gapenski, Louis C. (2015). Understanding Healthcare Financial Management, Seventh Edition, Health Administration Press, Chicago,