Importance Of Reimbursement

There is a notable rise in the in uninsured and elderly individual. This means a rise in number of patients who need care and a large population being the elderly who have more needs due to comorbidities. Going forward, the care providers and the institutions have to adjust as the health care continues in its roll out process. There are areas to focus to include: a) Hospital readmission reduction program. In its implementation, patient discharge process should be harmonized and patient educated on how to care for themselves at home or link up any service required with home health team. Any patient readmitted due to inability to take care of themselves with 30 days of discharge, the hospital will not be paid for the cost incurred during readmission period. The nurse and other care provider need to anticipate patient needs, provide education, demonstration, supply required equipment and teach how to safely use them in order to prevent readmission. Any readmission occurrence reduces the scores on patient experience which means a low reimbursement to the institution. …show more content…
The payment is based on institution achievement compared to set goals, Level of improvement for the institution compared to other in the value-based purchasing, quality of clinical outcome and forth, the patient experience rate. The task is on the care provider to increase patient interaction, involve the patient, their family and surrogate in decision making and be respond to their needs and concerns promptly so that the patient experience rate is