Reimbursement Training Plan NUR-621 Health Care Reimbursement Training Plan

·         To describe current reimbursement methods and provide the analysis of their impacts on the drug and the device used and innovation

·         To make employees understand the processes of Medicare, Medicaid, and private insurance reimbursement system to enhance efficiency and quality of treatment and medication to all irrespective of income.

·         To understand the processes including the assessments of the impacts of the reimbursement on the healthcare innovations based on the economic theories, consultations with experts, and literature reviews.

·         Finally, the aim of the training process is to identify the essential or key characteristics of the reimbursement and how they impact the healthcare system and the quality of treatments and medication.

With the above objectives, the whole process of training with revolve around the health insurance policies. First, there will be an explanation of the roles of Medicare, Medicaid, and Private insurance policies. Secondly, there will be the explanation and elaboration of the compensation mechanisms.

In the process of training, the learners should the exposed to the variety of factors that impact that Medicaid reimbursement methods as well as the criteria that often remain fairly universal. Before embarking on the discussion on the reimbursement processes; it is imperative that learners or the employees are given a good understanding of various Medicaid models including:

·         The managed care model

·         The free-for-service model

Finally, there will be an elaboration of the Medicaid system; how the money is generated and how it benefits each person enrolled to it. In addition, there will be an explanation of the complexities involved in the reimbursement mechanisms.

Similarly, for the Medicaid and private insurance, there will be an elaboration of the reimbursement mechanisms, as well as the complexities involved during the training processes (Harrington, 2016).

In the economic perspectives, the training process will incorporate the understanding of economic index of Medicaid, Medicare, and private plans and how they work in favor of both the beneficiaries and the healthcare institutions. The economic index refers to the measure of practice cost inflation developed in the year 1975 to enhance measurement of annual changes in the operating costs as well as the learning levels of doctors depending on the inflation and the cost of service provisions (Green, 2014)

Finally, trainees will be made aware of who is happy with the systems of Medicaid, Medicare and private insurance and who is not. In most cases, states are pro these models for different reasons, first, they pay the capitated fee for these plans which can bring down the total costs. Also, the states prefer these plans because they transfer the financial risks away from the state budgets and the general responsibilities to control the he