The Importance of Quality in Healthcare Reimbursement

Healthcare reimbursement describes the payment that a hospital, diagnostic facility, or other healthcare provider receives for providing patients with a medical service. (1) It’s important to look at how the healthcare reimbursement model has changed over time in order to understand the processes underlying the current U.S. healthcare system, as well as the gaps and limitations that exist within it.

A New Era of Healthcare

The models of care used by healthcare organizations have evolved over time. One of the most significant healthcare paradigm shifts in the past decade is the introduction of a new reimbursement model known as value-based care.

Where the traditional fee-for-service model rewarded organizations that treated the highest number of patients, the value-based care model now rewards organizations that provide the highest-quality care (1).