Description of the old model, such as capitated payments, fee-for-service, or others. How was quality monitored under these models? How was quality rewarded under these models? Description of the new model, such as value-based, accountable care organizations, or others. How is quality monitored under these models? How is quality rewarded under these models? Compare and contrast the traditional and new models. Explain reasons for the new model. Examples include rising costs of health care, policy changes, triple aim, et cetera.
Finally, after reviewing Vila Health's recent problematic patient case, describe how the care provided would be reimbursed under prior models versus reimbursement under newer models. Identify quality issues that will likely impact the organizations reimbursement under new payment models.
n the Vila problematic case the individual that came in for care was provided the wrong testing, medical staff recorded the wrong date of birth and the during an investigation of why the bill wasn't paid that's how they found out.
Sample Solution