3- Let’s Check Our Understanding About Costs in Health Care

MODULE 9 | Section 3 of 12

Let’s Check Our Understanding About Costs in Health Care

A REVIEW OF MODULE 3: UNDERSTANDING COSTS IN HEALTH CARE

Module 3 of this course, “Understanding Costs in Health Care” covered the basics about costs in health care, including the differences between charges, costs, and reimbursements; how costs are assessed and paid in health care; contemporary tools for cost accounting (such as Time-Driven Activity-Based Costing (TDABC)); and basics of different health insurance coverage (e.g., Medicare, Medicaid, employee-sponsored private insurance, etc). If you would like to review these topics, which will be helpful for understanding this current module, please make sure to return to Module 3 now.

Visit Module 3 Section 4: The Cost of Care: Different Approaches to review.

Clinicians or other health personnel are paid a fixed amount for predetermined hours of work or responsibilities.
CAPITATION
SALARY
FEE-FOR-SERVICE
PER DIEM PAYMENT (BUNDLED PAYMENT)
GLOBAL PAYMENT
PAYMENT BY EPISODE OF ILLNESS
While Module 3 introduced you to these concepts and terms, this module will explore them further, looking at how value-based reimbursement strategies are being implemented in the current system and the opportunities and limitations we’ve found.

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