IMPACT Model - Innovative, Motivational, and Collaborative Approach for Cost Optimization and Quality-Oriented Results in Health Insurance and Reimbursement Strategy

The challenges in healthcare today—ranging from aging populations and workforce shortages to complex reimbursement systems and strained relationships between insurers and providers—highlight the urgent need for innovation. Traditional models like Diagnose-related-grouping (DRG) and fee-for-services (FFS) struggle with flexibility, regional adaptability, and aligning incentives without hidden costs. Meanwhile, the focus on healthy life expectancy as a key health indicator is shifting reimbursement priorities toward outcomes rather than service volume.

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Publication Details

Journal
Biomedical Journal of Scientific & Technical Research
Published
2025-05-08
DOI
https://doi.org/10.26717/bjstr.2025.61.009651
Primary Topic
Health Systems, Economic Evaluations, Quality of Life
Type
article
Field-Weighted Citation Impact
0.00
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article

IMPACT Model - Innovative, Motivational, and Collaborative Approach for Cost Optimization and Quality-Oriented Results in Health Insurance and Reimbursement Strategy

Kadri Haller-Kikkatalo
Biomedical Journal of Scientific & Technical Research
Health Systems, Economic Evaluations, Quality of Life
article

IMPACT Model - Innovative, Motivational, and Collaborative Approach for Cost Optimization and Quality-Oriented Results in Health Insurance and Reimbursement Strategy

Kadri Haller-Kikkatalo
article en

Abstract

The challenges in healthcare today—ranging from aging populations and workforce shortages to complex reimbursement systems and strained relationships between insurers and providers—highlight the urgent need for innovation. Traditional models like Diagnose-related-grouping (DRG) and fee-for-services (FFS) struggle with flexibility, regional adaptability, and aligning incentives without hidden costs. Meanwhile, the focus on healthy life expectancy as a key health indicator is shifting reimbursement priorities toward outcomes rather than service volume.

Biomedical Journal of Scientific & Technical ResearchVol. 61(5)
Insight Healthcare (GB)
Decent work and economic growth
Openalex Percentile: Top 85%
Health Systems, Economic Evaluations, Quality of Life
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