The healthcare ecosystem is influenced by external forces in the form of government regulations, accreditation standards, and federal legislation. These regulations and legislation are components of federal government programs and bring with them directives that may impact the economics of healthcare.
As greater numbers of healthcare organizations implement information systems across the United States, a seamless exchange of health information may provide consumers with a higher quality of care, improvement in patient access, and more efficient control of the cost of healthcare services. The healthcare ecosystem is one of continuous change, and care coordination is supporting many of the changes.
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Analyze Medicare by doing the following:
1. Explain how Medicare’s payer program impacts licensure, certification, or accreditation standards.
2. Explain how Medicare’s payer program influences each of the following:
a. quality reporting systems
b. reimbursement for healthcare services
c. patient access to care
B. Evaluate how health information plays a part in Medicare by discussing a specific professional role within the Health Services profession and how the role supports the goals of Medicare.
C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
D. Demonstrate professional communication in the content and presentation of your submission.