Case/Discussion forum #2 The Shift from Inpatient to Outpatient Care in Healthcare Finance

Instructions for Participation:

  • Select at least one question to address in your initial post.
  • Include both your analysis and real-world examples or data to support your arguments.
  • Link your discussion points to specific concepts from our course content and relevant current events.
  • Strive for clarity and depth in your contributions to facilitate an informed and engaging discussion.

Questions for Discussion:

  1. Trend Analysis: Describe how the shift from inpatient to outpatient care has evolved since the pandemic. What are the primary factors driving this shift? Provide examples from specific healthcare settings or cases.

  2. Impact on Inpatient and Outpatient PPS: How does the shift to outpatient care affect the financial performance and operational strategies of hospitals that rely heavily on inpatient PPS? Conversely, how has the increased focus on outpatient care influenced the reimbursement models under the Ambulatory Payment Classification (APC) system? Provide examples of inpatient and outpatient services that have seen significant changes.

  3. Financial Strategies and Case Study: Review the Zimmer Biomet Inpatient Reimbursement Update 2024. How might changes in reimbursement policies for inpatient procedures affect hospitals’ decisions to shift more services to outpatient settings? As a healthcare manager, how would you adjust financial strategies to optimize the benefits of both inpatient and outpatient PPS in light of this trend?

Resources for Discussion:

  • https://www.zimmerbiomet.com/content/dam/zb-corporate/en/support/reimbursement/4413.1-US-en%202024%20Inpatient%20Reimbursement%20Update.pdf 
  • https://www.zimmerbiomet.com/content/dam/zb-corporate/en/support/reimbursement/4413.1-US-en%202024%20Inpatient%20Reimbursement%20Update.pdf
  • https://revcycleintelligence.com/news/hospital-execs-expect-greater-shift-to-outpatient-care
Use additional sources as well as the provided one (1-2 additional sources)

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