It seems who pays can control what

It seems who pays can control what the customer does and does not receive in care. However, large organizations can concentrate on cost containment or efficiency with organizations. This leads to the idea of how the companies are organized. At my organization, we are making daily decisions are how to cut the budget and save the jobs of the nurses who are working. We are always looking ahead and trying to think strategically in our decisions. Huber & Joseph (2022) discusses cost-containment. The “top down control” versus the “bottom up” approach are mentioned as being used in the United States. Both models have reaped positive and negative results in health care organizations. Next, cost shifting is mentioned. How are these different approaches used in healthcare and with what intended results? What do you think of these approaches? Are they effective? SCIENCE HEALTH SCIENCE NURSING NSG 577

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