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Managed care firms were created to assist employers and patients in health insurance cost containment. It has been controversial in that patients and providers have complaints on whether cost containment has affected quality of care. Managed care firms use strategies such as disease prevention, health education, and aligning services and aligning incentives. Managed care is offered primarily through employer-based health insurance which limits the choices to patients. Capitation payments, used by managed care firms, are also a means to control healthcare costs. They due however put risk on physicians for services provided to patients. To ensure the proper care is being given to patients manage care organizations can measure resource utilization. Money is paid in advance to providers at a fixed rate over a fixed amount of times depending on the services range they can provide. For Fee-for-service there is a greater risk to the payer and not the provider as providers are reimbursed after a service is delivered. In this case, providers get paid based off the number of services they can provide making it more of an incentive to provide unnecessary care. In either model the physicians role as a patient agent can be affected as they both have risk to overutilize and underutilize care without quality. My prediction would be that managed care firms will be forced to adjust their cost containment practices with a harder push for wellness and disease prevention. Baby boomers are aging and chronic noncommunicable (ex: heart disease, hypertension, hyperlipidemia, Type II diabetes) disease is rampant and will substantially increase the cost of healthcare over the next few decades.
What are the legal and political repercussions that emerge from disruptions created by the way business is done with new technology?
What do you believe are the two biggest social responsibility issues companies should be addressing today? Why are they the two most important? Cite examples from outside research from the news and/or from work-related experience
Discuss some possible clues that might tip off a manager that an employee may be initiating IP theft.
During Project Initiation the project manager is selected and stakeholders are identified. Discuss the roles of the project sponsor and the client.
On a busy evening a number of guests visit a gourmet restaurant, and everyone orders something. 140 guests order a beverage, 190 order an entree 100 order an appetizer, 90 order a dessert, 65 order a beverage and an appetizer, 125 order a beverage an..
Find and include in your response a poorly written grant proposal goal statement. Discuss why it is poorly written and re-write it so it is well written.
Simulate a forecast of the demand using trend-adjusted exponential smoothing. Use values of A0 = 90, T0 = 25, and a = ß = .2.
A manufacturing company has a small production line dedicated to the production of a particular product. The line has four stations in serial. Inputs arrive at station 1 and the output from station 1 becomes the input to station.
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i mazdas miata convertible originally drew the most interest from women between the ages of 35-55. in order to interest
Find an example of a company that has recently gone through a major change (in 2015). What type of change was it? Why did the organization make the change, and what does it hope to achieve from it?
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