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.
200 words minimum.

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