et’s examine how practitioner and provider payment (capitation, fee for service, shared savings, valued based payments, etc) and funding impact consumers who have government-funded insurance such as Medicaid, Medicare, Child Health Plus, Exchange vs. Commercial products.
Discuss
- How does funding and compensation, fraud, fewer physicians all impact access to and availability to services, and report cards?
- Is it ethical to limit access to care for patients covered by poorly paying insurers?
- What are the incentives, advantages, and disadvantages for insurance systems that pay primary care physicians through capitation compared vs. value-based payments vs. to fee-for-service or the possible single-payer system?
- As an employer, how would you establish copays and deductibles to encourage more efficient use of health care services?