evaluate two global payment systems within healthcare with focus on the financial risks for providers.
Payments for Health Services Providers (100 points)
Insurance is based on pooling of losses, payment for random losses, risk transfer, and indemnification. As a result, insurers use several different approaches to mitigate their risk and set premium rates, including:
the fee-for-service method
the cost approach
the demographic approach
For your assignment, evaluate two global payment systems within healthcare with focus on the financial risks for providers. Identify the pluses and minuses of both approaches used to mitigate these risks.
Your paper should meet the following structural requirements:
Four-to-five pages in length, not including the cover sheet and reference page.
Formatted according to APA 7th edition and Saudi Electronic University writing standards
Provide support for your statements with in-text citations from a minimum of two scholarly articles from peer-reviewed journals. Additional sources may come from the class readings or textbook, but a minimum of two must be external.
The Saudi Digital Library is a good place to find these references.
Recommended:
Prabhu, N., & Issrani, R. (2020). Dilemma in the foreign lands during COVID-19: An outlook of expat health care professionals with a take on a social perspective. Work, 67(4), 779-782.
Al-Hanawi, M. K., Mwale, M. L., & Kamninga, T. M. (2020). The effects of health insurance on health-seeking behaviour: Evidence from the Kingdom of Saudi Arabia. Risk Management & Healthcare Policy, 13, 595-607.
Babelghaith, S. D., Wajid, S., Alrabiah, Z., Othiq, M. A., Alghadeer, S., Alhossan, A., … & Attafi, I. M. (2020). Drug-Related Problems and Pharmacist Intervention at a General Hospital in the Jazan Region, Saudi Arabia. Risk management & Healthcare Policy, 373-378. Informa Markets. (2019).