Healthcare payment and reimbursement models and their impact…

In this discussion, you will examine how healthcare payment and reimbursement systems influence population health outcomes in the United States, using the Triple Aim and a health promotion lens. Select one U.S. healthcare payment or reimbursement model (e.g., fee-for-service, value-based care, bundled payments, capitation). Briefly describe how the model works, then analyze how its financial incentives influence population health outcomes using the Triple Aim framework: Improving the health of populations Enhancing the patient experience of care Reducing per capita cost of healthcare In your analysis, consider system-level effects such as access to care, prevention, care coordination, and impacts on health equity. Equity and population focus: Discuss how this payment model may affect underserved or socially vulnerable populations, and whether it supports or hinders equitable achievement of the Triple Aim. Practice or policy change with critical justification: Propose one policy or practice change that could better align this payment model with improved population health outcomes. Then, critically evaluate your proposed change by addressing the following: Does this change primarily support health promotion and keeping populations well, or does it continue to emphasize disease-focused, episodic sick care? Justify your position by explaining how reimbursement incentives shape what care is prioritized, delivered, or reimbursed. Your response should reflect advanced systems thinking and be supported by course materials and/or external evidence as appropriate.

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