Discussion postHealth care reimbursement

Explain why you agree or disagree with this prediction.

The prompt calls it a projection. It is already policy, and the strongest post says so, then argues about how far the shift actually goes.

Editorial process

Last reviewed · August 23, 2026

Written by

Maren Caldwell

MSN, RN, CNE

Medical-surgical nursing, pharmacology and NCLEX preparation

Reviewed by

Dr. Tessa Redmond

DNP, RN, CNE

Evidence-based practice and clinical education

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Interpret the task
Assignment instructions
Deliverables
Proposed outline
Research plan
Reference shortlist
Final review

The prediction has already partly come true

An agree-or-disagree prompt tempts you into an opinion, and the marks are in the evidence instead. Start by noticing that the prediction is written in the future tense about something that has been operating for over a decade. Hospital Value-Based Purchasing puts a percentage of Medicare inpatient payment at risk and scores hospitals on a person and community engagement domain built from the national patient experience survey, alongside clinical outcome, safety and efficiency domains. The Readmissions Reduction Program penalises excess readmissions directly. So the correct opening move is not to agree or disagree with a forecast but to observe that the shift is underway and then argue about its extent, which is a far stronger post than either simple position. Check the current figure before you quote it, because the percentage at risk has been adjusted more than once and a stale number undermines an otherwise strong post. Both programmes are easy to look up.

Having corrected the premise, take a real position on how far it goes, and there are defensible arguments on both sides. In favour of continued expansion: the direction of travel across accountable care, bundled payments and alternative payment models is consistent, purchasers want to buy outcomes rather than volume, and the measurement infrastructure now exists. Against a complete shift: fee-for-service still carries most of the money, risk adjustment remains contested, and there is a documented worry that satisfaction-based payment creates pressure to accommodate requests that are not clinically indicated, of which opioid prescribing was the most argued example. Safety-net hospitals serving sicker and poorer populations also score worse on measures that are only partly within their control, which is an equity objection worth raising. A post that names both the programmes and the objections is the one that earns the marks. Land on a bounded claim about how far the shift extends rather than on a verdict about whether it is coming.

Likely learning objectives

Test a prompt's premise against current policy before answering it.
Name the specific payment programmes that implement outcome-linked reimbursement.
Argue the limits of a policy trend rather than its existence.
Recognise risk adjustment and equity objections to satisfaction-based payment.

Assignment instructions

Read the full question

Review every instruction before using the planning guidance that follows.

HLT 317V Topic 5 DQ 1 Reimbursement in the future is projected to be based on customer satisfaction and positive outcome. Explain why you agree or disagree with this prediction.

Course-wide instructions that accompany this question

ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. HLT 317V Topic 5 DQ 1 I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

What Topic 5 DQ 1 asks for

01A statement of whether you agree or disagree with the prediction.
02An explanation of why.
03Engagement with both bases the prediction names: customer satisfaction and positive outcome.