Problem
Based on the Harvard business review article titled - A Payment Model That Prevents Unnecessary Medical Treatment answer the following questions:
You are 64 years old and have been diagnosed with advanced arthritis (bone-on-bone) in your right hip joint. You are healthy and physically fit. You were advised to get a hip replacement. You have comprehensive health care insurance - with affordable 10% co-payment for surgery and related physical therapy. You found orthopedic surgeon with excellent health ratings and patient outcomes to perform the surgery.
How would you as a patient- benefit or not if your surgeon was part of a provider practice that was getting paid on a global capitated payment? Consider both inpatient surgery and outpatient care (physical therapy) associated with this hip replacement. Explain whether this payment make it more convenient for finding and paying for quality providers or not?
As a health manager of a provider practice (similar to one in the article) with capitated payments for orthopedic care, what information would you need to make available to providers to help them manage the health of their patients while controlling provider's financial payment risk.
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.