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Colorado Technical University Healthcare Statistics & Research Project 4

Colorado Technical University Healthcare Statistics & Research Project 4

Colorado Technical University Healthcare Statistics & Research Project 4


Health care organizations such as Choice Hospital must keep up todate with new initiatives related to reimbursement by third-party payersfor services provided. This is especially true for Medicarereimbursement and initiatives tied to legislation such as the AffordableCare Act and the 21st Century Cures Act.

You are working with the chief financial officer and his team on twotypes of statistics related to Medicare reimbursement initiatives:

  1. Medicare spending per beneficiary (MSPB)
  2. Hospital readmission rates

You will be working with the finance team to prepare a presentationfor the CEO and executive leadership team to help them understand theserequirements. Your presentation should be 5-7 slides (100-150 words perslide, not including the title and reference slides) with APAformatting. Cite at least 2 scholarly reference articles or governmentpublications that were published within the last 3-5 years.

Your presentation should address the following for both the MSPB and hospital readmission rate statistics:

  • Describe the Medicare program or initiative that uses the statistic.
  • Is it an incentive- or penalty-type program related to the rate of Medicare reimbursement?
  • Are the statistics and the program or initiative tied to performance, for example improving quality of care? If so, how?
  • Which legislation is authorizing the Centers for Medicare and Medicaid Services (CMS) to initiate these programs?
  • Define the statistic and how it is calculated.
  • Provide examples of these statistics from publications orgovernment sites. For many of the CMS initiatives, data for health careinstitutions is made available through the CMS Hospital Compare Website.

Cite all references using APA formatting.

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