Payer models

Discuss, compare and contrast the traditional payer sources and models and those that are now emerging and
expect to be more prevalent in the future.
What do you believe the optimal payer mix of a healthcare organization should be?
Has the Affordable Care Act or the proliferation of Accountable Care Organizations impacted this?
Do you believe the payer mix of healthcare organizations will change in the future? In what way and why?
If so, will these changes impact the gross revenue for the organization and/or contractual allowances? In what
way and why?
What steps should healthcare organizations be taking to adapt to or prepare for the new payer environment?
Other factors that should be considered by healthcare organizations.

Sample Solution