Paying for Health Services
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چکیده
cated in the scenic Jackson Hole Valley and is a major gateway to the Grand Teton and Yellowstone National Parks. In addition, it is home to the world’s largest ball of barbed wire. (It’s amazing what you learn when studying healthcare finance!) Jen Latimer, a recent graduate of Idaho State University’s healthcare administration program, was just hired to be Big Sky’s practice manager. One of her first tasks was to review the group’s payer mix. (Payer mix is a listing of the individuals and organizations that pay for a provider’s services, along with each payer’s percentage of revenues.) After all, revenues are the first step (of many) needed to ensure the financial success of any business. To better understand Big Sky’s revenues, Jen focused on two questions. First, who are the payers? In other words, where does Big Sky’s revenue come from? Second, what methods do the payers use to determine the payment amount? By gaining an appreciation of the group’s C h a p t e r 3
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