How and what does cms use to determine payment rates


Discussion Post: Health Care Management

Part A

a. What is competitive advantage?

b. List 3 firms or businesses, particularly in the healthcare sector, that you have read about or have personal experience with. Describe their sources of competitive advantage and how you believe that quality supports (or does not support) their strategy.

c. What impact have they made on the community? Patient? Provider?

Part B

a. How do hospitals get reimbursement for care provided to the beneficiaries?

b. Discuss the CMS-HCC risk adjustment system. How and what does CMS use to determine payment rates? How do hospitals get reimbursement for the care they provide to the beneficiaries?

The response should include a reference list. Double-space, using Times New Roman 12 pnt font, one-inch margins, and APA style of writing and citations.

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