- of the third-party payers/programs listed. When completing the template, include a minimum of the following information for each of the payers/programs and be specific.
- Description of Payer, including oversight & administration (i.e. who runs it, who monitors their functioning, who pays the bills etc.).
- Beneficiaries or population the payer serves. Describe any eligibility requirements (military, age, income, etc.).
- Typical benefits (primary focus of covered services – be specific; do not just say medical services).
- Cost Containment efforts (co-pays, deductibles, etc.).
- Reimbursement Methodology(ies) used for payment (i.e. prospective payment, fee for service, etc.).
- Funding how is the coverage paid for? If a government plan, where does the government get the funds?
- Do not copy and paste any answers from your sources. All responses should be in your own words and summarize your findings.
- Cite your resources in APA format
Target Course Competencies:
- COMPARE government and non-government payers and payment methodologies
