The distinction between provider payment and provider reimbursement.

 

 

Describe, in detail, why it is important to make the distinction between provider payment and provider reimbursement.

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The distinction between provider payment and provider reimbursement

How providers are paid is one of the often-discussed and often-reformed aspects of the American healthcare system. Are doctors being paid too much? Is how they are being paid incenting them to perform unnecessary services or to not give enough attention to their patients?  Traditionally, there have been three main forms of reimbursement in the healthcare marketplace: fee for service, capitation, and bundled payments/episode-based payments. A provider payment method may be defined simply as the mechanism used to transfer funds from the purchaser of health care services to the providers. States may offer Medicaid benefits on a fee-for-service basis, though managed care plans or both. It is important to make distinction between provider payment and provider reimbursement because payment help us to see it as a payment.

together as one. He believed that the body and mind work like a machine and that the pineal gland was the connecting point between the body and the mind. He believed in materialism which is the belief that all things work like machines. He used something called “the method of doubt”. This means that he wanted to find a foundation of knowledge that is so secure it could stand up against the doubts of the strongest skepticism. In his book, “First Meditations on Philosophy”, he employs a dialogue between a person employing common sense and a skeptic. The person relying on common sense believes that there are various reliable sources of knowledge while the skeptic claims there is no secure foundation for knowledge. The two sources of knowledge that he writes about are from the senses and the intellect. Descartes presents the question: are the senses a reliable source of knowledge? This brings us to Descartes argument from Dreaming. In this theory, you compare your dreaming state with your waking state. When we are dreaming, we are not aware that we are dreaming. Things that later strike us as fuzzy, incoherent, far-fetched, or impossible, don’t seem so far within the dream. So that brings up the question: how can we be certain that the experiences we have now are reliable? However, it is worth noting that this is not Descartes own position. His own position is stated in the 6th meditation where he suggests that there are marks present in one’s waking experience in which we can distinguish waking from sleeping. The dream images we imagine are drawn from waking experience. For example, like painting, when a painter creates an imaginary creature like a minotaur, he or she will get the parts of the minotaur from things in real life: horse and man. The painter can doubt composite things, things that are made up together, but cannot doubt the simple and universal parts from which they are constructed. This can be quantity, size, etc. We can doubt studies that are based on composite things, such as medicine, astronomy, or physics, but subjects like arithmetic and geometry are undoubtable

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