Which of the following best describes why health care institutions are

Which of the following best describes why health care institutions are unhappy beyond the fact that they are not receiving the previous high reimbursement for procedures from Medicaid or Medicare?

a. Because clients are well informed and know they do not really have to pay their hospital bills
b. Because insurance companies and other third-party payers copy Medicaid’s approach to holding down costs
c. Because it is harder to continue giving charity care when less reimbursement is received from the federal government
d. Because recent legislation has required that all reimbursement be based on quality performance measures

ESSAYBID ANSWER

ANS: B
Although publication of quality measures is occurring, this is gradually being implemented. The Centers for Medicare and Medicaid (CMS) has established a value-based purchasing program for hospitals that was launched in 2013. The program links Medicare payments to quality performance on common, high-cost conditions such as cardiac, surgical, and pneumonia care. Thus, all reimbursement is not being linked to these quality measures. However, whatever the federal government does to hold down costs is usually quickly copied by insurance and other third-party payers.