From our module content, review the descriptions of the major payment/reimbursement methodologies that healthcare organizations use:
- Reasonable cost or cost-based reimbursement
- Reasonable charge or charge-based reimbursement
- Prospective payment.
Discussion: What is the difference between Equity in health insurance coverage and Equality in health insurance coverage?
Discuss your personal experience with medical insurance coverage. Which payment methodology does your insurance provider use? In your opinion, is your insurance sufficient to cover your healthcare needs? Are different methodologies better for different types of claims?