Describe managed care services cost and utilization

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Reference no: EM13796904

Unit outcomes addressed in this Assignment:

- Define basic terminology/features of health insurance

- Describe managed care services cost and utilization control tools relating to insurance reimbursement

- Explain the importance for health policymakers to be familiar with basic economic concepts, specifically, how the presence of third party (insurers) changes consumer and supplier analysis of costs and benefits of each transaction

- Discuss the problem of uninsurance and health reform attempts to reduce the number of uninsured individuals

Create a PowerPoint presentation at least 10 slides in length that discusses your planned proposal. Each process should be outlined in 2-4 slides. Include detailed speaker's notes that describe your program, which should include your answers to the questions below. Be sure to include references and citations from at least five sources. Your PowerPoint presentation needs to be visually appealing, to catch your audience's attention, as your goal is to promote your program to the health care organization groups and people attending.

1. Outline the problem presented in the current national healthcare coverage in the United States.

2. How does uncertainty and risk effect insurance companies, businesses, and the employed and unemployed people of the country?

3. What solution would you propose? Why? Provide a step- by-step plan for implementation of your proposal.

4. How will your solutions reduce the long-term health care costs for all groups, protect stakeholders from economic devastation, improve patient safety, quality of care, and wellness.

Writer addresses how uncertainty and risk effect insurance companies, businesses, and the employed and unemployed people of the country and how to help these groups find solutions that will benefit all stakeholders.

Writer describes the internal and external environmental economic factors that affect coverage, the moral hazards involved, and how cost sharing and other initiatives can offset the effects of these moral hazards.

Reference no: EM13796904

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Describe managed care services cost and utilization : Define basic terminology/features of health insurance and describe managed care services cost and utilization control tools relating to insurance reimbursement.
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