Perverse incentives-reimbursement and bilateral surgery


Read the case journal Perverse Incentives: Reimbursement and Bilateral surgery by Dale Buchbinder and respond to the following questions:

Task: Perverse Incentives

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

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

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

• 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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