Not all prospective payment systems are considered what?

The correct answer is that not all prospective payment systems are considered global payment systems.

Prospective payment systems (PPS) typically involve predetermined payments based on the expected costs of services provided to patients. While some of these systems do encompass broad payment frameworks like global payment systems—where a single payment covers all services for an episode of care—many PPS are more narrowly focused and do not fit this definition.

For instance, certain PPS may base payment on diagnosis-related groups (DRGs) or other specific service categories, leading to payments that might not be holistic or global when it comes to patient care. Global payment systems aim to bundle a variety of healthcare services and costs into one set payment for a defined patient population or for an episode of care, which contrasts with the more fragmented nature of many prospective payment systems that can deal with individual services separately.

Understanding this distinction is essential in the context of healthcare reimbursement, as it highlights the varying structures and intents behind different payment models. Other terms mentioned, such as effective reimbursement models, patient-centered approaches, and affordable care initiatives, do not accurately describe the broader categorization that distinguishes global payment systems from the many types of prospective payment systems.