Perverse incentives-reimbursement and bilateral surgery


Perverse Incentives: Reimbursement and Bilateral Surgery, in the text (Buchbinder, Shanks, & Buchbinder, 2014)

Q1. Create a list of legal and ethical concerns you would have as a health services manager in this situation.

Q2. Discuss what regulation requirements may be most problematic (include consequences).

Q3. Presume the surgeon, hospital billing department, and senior leadership will not change current practices. Suggest a rational course of action to minimize risk and maximize reward without jeopardizing network or provider contracts.

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