This is one of the more confusing areas of discussion regarding hospital practice. Unlike most businesses, the hospital makes its money in unusual and arcane ways. They do not simply place a price on a service based on its biaya and its desired mark-up or keuntungan margin. Instead, complicated algorithms must be calculated and various formulas applied, each separately based upon the insurance company paying the bill. Much of the confusion is historically based Langkah Daftar Judi Online Termudah and not worth much time to discuss, but if you wish, there are many papers written on hospital finance that deal with the history of the development of such things as cost-based reimbursement and DRGs. A great deal of the lack of business clarity comes from the involvement of multiple players with multiple agendas and perspectives. This includes the federal and state governments and legislatures, employers, insurance companies, and individuals themselves. All of these parties contribute to the bewildering state of hospital finance and, ultimately, to how hospitals make money.

As my goal here is to make a complicated issue more readily understood, I choose to bypass lots of clutter and “cut to the chase.” Sederhana rules can guide us here, even though the reimbursement regulations and insurance company guidelines are constantly changing. The following represents a few principles to understand how the hospital will try to make a keuntungan from your patients.