Payments for Health Services Providers

Insurance is based on pooling of losses, payment for random losses, risk transfer, and indemnification. As a result, insurers use several different approaches to mitigate their risk and set premium rates, including:

the fee-for-service method

the cost approach

the demographic approach

For your assignment, evaluate two global payment systems within healthcare with focus on the financial risks for providers. Identify the pluses and minuses of both approaches used to mitigate these risks.

Your paper should meet the following structural requirements:

Four-to-five pages in length, not including the cover sheet and reference page. 

Formatted according to APA 7th edition and Saudi Electronic University writing standards

Provide support for your statements with in-text citations from a minimum of two scholarly articles from peer-reviewed journals. Additional sources may come from the class readings or textbook, but a minimum of two must be external.

The Saudi Digital Library is a good place to find these references.

You are strongly encouraged to submit all assignments to the Turnitin Originality Check prior to submitting them to your instructor for grading. If you are unsure how to submit an assignment to the Originality Check tool, review the Turnitin Originality Check Student Guide.