Payments For Health Services Providers Insurance is based on pooling of losses, payment for random losses, risk transfer, and indemnification. As a result,

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. SEU HCM565
Critical Thinking Writing Rubric – Module 3

Exceeds
Expectation

Meets Expectation Below Expectation Limited Evidence

Content, Research, and Analysis

21-25 Points 16-20 Points 11-15 Points 6-10 Points

Requirements Includes all of the
required
components, as
specified in the
assignment.

Includes most of
the required
components, as
specified in the
assignment.

Includes some of
the required
components, as
specified in the
assignment.

Includes few of the
required
components, as
specified in the
assignment.

21-25 Points 16-20 Points 11-15 Points 6-10 Points

Content Demonstrates
substantial and
extensive
knowledge of the
materials, with no
errors or major
omissions.

Demonstrates
adequate
knowledge of the
materials; may
include some
minor errors or
omissions.

Demonstrates fair
knowledge of the
materials and/or
includes some
major errors or
omissions.

Fails to
demonstrate
knowledge of the
materials and/or
includes many
major errors or
omissions.

25-30 Points 19-24 Points 13-18 Points 7-12 Points

Analysis Provides strong
thought, insight,
and analysis of
concepts and
applications.

Provides adequate
thought, insight,
and analysis of
concepts and
applications.

Provides poor
though, insight,
and analysis of
concepts and
applications.

Provides little or no
thought, insight,
and analysis of
concepts and
applications.

13-15 Points 10-12 Points 7-9 Points 4-6 Points

Sources Sources go above
and beyond
required criteria
and are well
chosen to provide
effective
substance and
perspectives on
the issue under
examination.

Sources meet
required criteria
and are adequately
chosen to provide
substance and
perspectives on
the issue under
examination.

Sources meet
required criteria
but are poorly
chosen to provide
substance and
perspectives on
the issue under
examination.

Source selection
and integration of
knowledge from
the course is
clearly deficient.

Mechanics and Writing

5 Points 4 Points 3 Points 1-2 Points

Demonstrates
college-level
proficiency in
organization,
grammar and
style.

Project is clearly
organized, well
written, and in
proper format as
outlined in the
assignment.
Strong sentence
and paragraph
structure, contains
no errors in

Project is fairly well
organized and
written and is in
proper format as
outlined in the
assignment.
Reasonably good
sentence and
paragraph
structure, may

Project is poorly
organized and
written and may
not follow proper
format as outlined
in the assignment.
Inconsistent to
inadequate
sentence and
paragraph

Project is not
organized or well
written and is not
in proper format as
outlined in the
assignment. Poor
quality work;
unacceptable in
terms of grammar,
spelling, APA style,

SEU HCM565
Critical Thinking Writing Rubric – Module 3

grammar, spelling,
APA style, or APA
citations and
references.

include a few
minor errors in
grammar, spelling,
APA style, or APA
citations and
references.

development,
and/or includes
numerous or major
errors in grammar,
spelling, APA style
or APA citations
and references.

and APA citations
and references.

Total points possible = 100