Consider what you’ve learned so far about the transition from volume- to value-based reimbursement. Different organizations will respond to the impact of this change in various ways. Based on its actions, an organization may flourish, or it may fail as its reimbursement decreases. As reimbursement methodology changes, institutions must adapt.
To prepare for this Assignment:
Read Case 5: Middleboro Community Hospital in this week’s Learning Resources, and consider the actions taken by this organization. https://class.waldenu.edu/bbcswebdav/institution/USW1/201850_27/MS_MMHA/MMHA_6700_WC/readings/USW1_MMHA_6700_Week02_Seidel_Case5_Middleboro.PDF
Review data tables regarding their case mix (top DRGs), Patient Days, and CMS Core Measures. These metrics address both qualitative and quantitative measures in this organization.
Write a brief, 2-page executive summary of the impact of the transition from volume-based to value-based health care. Specifically, address how this change in reimbursement methodology impacts operational requirements and how it can be implemented. Recommend at least two adjustments to operations which may position the organization for success under value-based health care.