Mcos reimburse providers for health care services

Assignment Help Operation Management

Reference no: EM132149799

Physician Reimbursement Directions With the increasing cost of health care, MCOs have been under tremendous pressure to control health care costs, including physician reimbursement. In this assignment, you are to look at some of the issues that are involved in physician reimbursement. Your assignment is to write a 2 to 3 page paper that addresses the following: • What are the different methods that MCOs reimburse providers for health care services? • How does reimbursement for these services vary based on the type of MCO models (Group, Staff, IPA, PPO…) • In which situations would member/patients pay the MCO directly? • How do you think reimbursement impacts how care is delivered to the patient? • Is this good or bad? Provide examples, • Cite your resources.

Reference no: EM132149799

Questions Cloud

Identify the clinical problems or issues : Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

Develop the demand equation : a. If A = $10,000 and I = $25,000, develop the demand equation?

Does the organization meet this mission-vision statement : Does the organization meet this mission and vision statement posted? How? Why? or Why Not?

Despite scientific consensus in detail : Vaccine controversies have occurred since almost 80 years before the terms vaccine and vaccination were introduced, and continue to this day.

Mcos reimburse providers for health care services : What are the different methods that MCOs reimburse providers for health care services?

Explain the roles and responsibilities of a project manager : Describe general topics covered in the PMI Project Management Certification exam. Explain the roles and responsibilities of a project manager.

Compare between the liberal and conservative approaches : SPECTRUM OF POLITICAL IDEOLOGIES - Compare between the liberal and conservative approaches to the US foreign and domestic policy.

Social role of the company : How the social role of the company contributes not just to the community, but also to the company's success.

Define how culture may impact pursuit of valued direction : Do you have any insights on Craigie's work presented on transcendence and the pursuit of valued direction? What framework, with clinical tips presented?

User Account

All Pages