Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

7. Briefly describe hox Cutlier payments right be handled to ensure that the center does not suffer large losses on outliers (patients unusually high costs).

image text in transcribed
7. Briefly describe hox Cutlier payments right be handled to ensure that the center does not suffer large losses on outliers (patients unusually high costs). (Hint Cast outiers are identified by having costs that exceed a specified divesiroki. Then, in addition to the standard payment, the provider is reimbursed for some percentage of the cost above the threshoid. For this question, you must choose a cost threshold and outlier payment percentage.) The threshold for the outliers should be set Cost-to-charge ratios should be calculated to the covered charges, if the cusis of the case exceed the fixed-uss outlier threshold limit 7. Briefly describe hox Cutlier payments right be handled to ensure that the center does not suffer large losses on outliers (patients unusually high costs). (Hint Cast outiers are identified by having costs that exceed a specified divesiroki. Then, in addition to the standard payment, the provider is reimbursed for some percentage of the cost above the threshoid. For this question, you must choose a cost threshold and outlier payment percentage.) The threshold for the outliers should be set Cost-to-charge ratios should be calculated to the covered charges, if the cusis of the case exceed the fixed-uss outlier threshold limit

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

More Books

Students also viewed these Finance questions