NUR-621 Health Care Reimbursement Training Plan

The need to improve the health care delivery method while reducing the cost of health care has compelled the US government to develop a financial system that takes care of the health care costs. The programs developed by the US government include Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) (Altman & Frist, 2015). These programs are essential in the performance of major health care activities in the US. Besides, they have an impact on the taxpayers because of the budget allocation made by the government of these programs each financial year. The three major health care programs insure citizens at different levels. For instance, Medicare is the insurance cover for older people above 65 years in the US, while Medicaid and young adults generate while CHIP is for children across the US.

Objective 2: Risks and Uncertainties when working with healthcare reimbursements.

The effectiveness of the health care system in the US comes from public and private reimbursements. However, these types of health reimbursement come with varying levels of uncertainties. The process of healthcare reimbursement comes in two different forms. The first category is private players that entails an employer-based cover and personal purchased insurance. The private providers require a deductible that can reimburse funds directly to the provider. The second category is the public players representing Medicare Medicaid, representing 25 percent of all the US health care systems. Each insurer, either public or private, has regulations that affect their cover.

Training objectives for Medicaid Program

This program supports the ACA act that aids in expanding health coverage to all US citizens to receive better health care. The need to meet the expansion of health care efforts to many people and in areas that have not experienced this program is a mission of the government to reduce cost and increase the accessibility of health care.

Training objective on Medicare program

The program offers plans for outpatient services and inpatient services. The program focuses on value-based care and transformation to other alternative payments methods. The program focuses on under bundled payment methods to reduce cost.

The instructional materials proposed for use in this training will be written and demonstrated using visual aids to heighten the trainees’ understanding.

The technology applied in training nurses will involve Electronic Medical Records (EMRs), medical supplies, and computers.