What reimbursement method would you recommend for each of the...

 

What reimbursement method would you recommend for each of the following Specialists, Hospital?

Primary Care Physicians

Capitations

All primary care physicians are supposed to be paid by capitation. Capitation in most cases encourages these health professionals in shifting patients to other qualified health providers, while sharing all the possible risks that might lead to the generation of incentives for the reduction of hospital utilization levels. Alternatively, primary care physicians may also be paid all their service fee on the discounted basis that is effective in offering comprehensive preventive care incentive, thus restricting any form of care cost escalation. 

Specialist

Capitation

Capitation is also effective in paying specialist, regardless of the peculiar issues that might be associated with it. Based on the number of specialist in major parts of the world, the administration of this payment methods serve as the most useful one because it not only assures them confidence but also helps in increasing hig-cots among them. 

Hospitals

Per Day Basis

Hospitals have common practices that manages care plans and helps in making payments. However, most of the plans are geared towards the pay per day basis thus  makes the process attractive to care specialists and physicians in limiting admissions and length of stay. Additionally, it helps in offering the necessary controls to hospitals based on its major constituents and other associated rationales. Therefore, the payment per day basis helps in keeping a check to the costs in these sectors over a long period of time for the PHO. 

Other Services

Fee-for-Services Basis

This reimbursement process increases the utilization levels at different stages of unpredictable cases and services that are being offered to people. The fee-for-service basis ensures coherency and discounting the contract levels.