The Ineffective Approach in Medicare Reimbursement Essay

The idle Approach in Medicare Reimbursement - Essay ExampleOn the different hand, the support on setting the Medicare reimbursement is that, at that place is no one general approach in which the most effective amount go out be arrived at. In addition, the set guidelines and rules for Medicare reimbursement lack a proper structure making the approach more dispute to the practitioners. Nevertheless, the failure to involve the health practitioners, especially advanced nursing practitioners in instruction, effectively makes the approach ineffective. Therefore, their interlocking is crucial to ensure an approach that suits the needs of all the stakeholders and making it responsive to the needs of both the patients and the healthcare providers. In addition, government intervention by creating proper legal guidelines is crucial to ensure that the approach meets the indispensable needs. Keywords reimbursement, Medicare, Medicaid The ineffective approach in Medicare Reimbursement Int roduction Wong (1999) noted that, the Balanced Budget Act of 1997 provided the reimbursement of APNs for the services they provided in any given setting at a fraction of the physicians fee. Nevertheless, a long process requiring get together specific guidelines and documentation makes the process of reimbursing APNs hectic and confusing. In this case, the new era of providing medical care should be devoid of the factors that do not in any way help in simplifying the process of reimbursement. emphasize Reinhardt (2003) identifies the Medicare reimbursement system in the country as a large one and much more modify than in other countries. Moreover, the inflexible nature of the system does not offer any assistance besides only helps make the issue much more complex for advanced practice nurses in circumspection. In this case, this makes the system fail to respond to the local markets conditions, patients requirements, and more significantly to nursing care providers needs and req uirements. Moreover, the refractory nature of Medicare is made worse by the rules and guidelines that groups of actors manipulate easily to meet their specific needs. Cohen and Spector (1996) noted that, the yearly threat in a considerable cut in Medicare reimbursements often lead to speculation that hospitals will have a limit on the number of Medicare patients they admitted and treated. In effect, advanced nurses in charge of management faced a dilemma whether to admit these patients due to the cut in Medicare considering that the reimbursement formula to determine how much payment a hospital gets is determined by a special(a) number of cost-related factors and in particular the geographical location and inflationary rates. Position It is my position, as a nurse with advanced preparation in management, that the current Medicare reimbursement system is complex in its effort to offering quality care to the countrys population. In this case, the structure, rules, and guidelines on the reimbursement polity fails to capture the opinions of nursing practitioners on how best to structure the reimbursement policy. On the other hand, the structure of obtaining the reimbursement amount in terms of cost-related measures such as geographical location and inflation makes the policy on reimbursement appear unfair to some states and nurses practitioners while others benefit. In fact, this makes the policy more complex and puts management at an awkward position in terms of implementation of their policies.