Third-party payer comparisons

Assignment Help Science
Reference no: EM132720833

Third-Party Payer Comparisons

A third-party payer manages healthcare expenses for the insured (patient) and other covered parties and provides reimbursement for treatment and services covered under a contractual agreement between the insured and the payer. Several examples of third-party payers include HMOs, PPOs, Medicare, and Workers' Compensation. Select two of the third-party payers to compare and contrast based on your readings.

Consider in your discussion the differences and similarities in access to providers, choice of provider, out-of-pocket costs to the patient such as required co-pays and coinsurance and deductibles, and appeals for denied services. Identify based on your comparisons which type of plan you would prefer as a patient and why.

Reference no: EM132720833

Questions Cloud

Analyze this adjustment for wages using T accounts : An additional $200 of wages was earned by the employees, but has not yet been paid. Analyze this adjustment for wages using T accounts
Scenario analysis in business : Describe the distinctions and the pros and cons of using traditional time series forecasting (which is quantitative) and scenario analysis in business
Describe and discuss the social movements : Describe and discuss the social movements that have impressed you and made an impact on your consciousness. For example, those of us
Analyze the required adjustment as of December : On December 1, a six-month liability insurance policy was purchased for $900. Analyze the required adjustment as of December
Third-party payer comparisons : A third-party payer manages healthcare expenses for the insured (patient) and other covered parties and provides reimbursement for treatment and services
Describe the general context of the social environment : What are the details of the environment? Describe the general context of the social environment(time of day, lighting, sounds, vibe/energy, etc.).
How does ge use six sigma to enhance customer : How does GE use Six Sigma to enhance customer perception of its products and services?
Analyze this adjustment for supplies using T accounts : A physical count of the supplies inventory shows that $90 of supplies remain. Analyze this adjustment for supplies using T accounts
Discuss how dmaic might be used in your personal life : For example, how could you use if if you wanted to improve a skill such as playing a musical instrument?

Reviews

Write a Review

Science Questions & Answers

  How stigma of low literacy can impair patient professional

How the stigma of low literacy can impair patient-professional.When teaching patients, one must build on the foundation of clear and measurable objectives. The wording is important, ask yourself if there is a way to quantify the goal.

  Develop a proposal for a wellness education program

Assignment - Paper on nursing - Develop a 5-7-page proposal for a wellness education program for a specific population

  Why third parties have never been successful at the level

Write a three to four (3-4) page paper on the relationship between political parties and the electoral process in which you:Identify three to four (3-4) ideological differences between Americas two (2) major political parties.Analyzekey reasons why t..

  Toyota had a problem with unexplained acceleration

recently several studies have sought to measure the extent of binge drinking among college students. based on the

  Identify the effects of this pollution on human health

Identify the effect an instance of environment pollution in your state

  Cause of meningitis in non-immunized young children

What is the microorganism that causes most cases of meningitis among adults?

  Terrorists And Counter Terrorism Efforts

Summarize the history, defining characteristics, goals, and structure/hierarchy of the Chechen Separatists and Russian efforts to address separatist's efforts

  An essay for ethics is a little different from other essays

Writing an essay for ethics is a little different from other essays. The main reason is that your arguments must be very tight and present sound logic and moral reasoning based on the ethical theories (utilitarianism, social contractualism, divine co..

  How the problem came to public and political awareness

Paper is to be a comprehensive research study on one of the following public policy topics: Environmental Concerns, Immigration and Health Care.

  Construct a modified control chart with three sigma limits

Construct a modified control chart with three sigma limits

  What are the different types of goals in conflict

What are the different types of goals in conflict? What is the most effective way to clarify or collaborate on setting goals?

  Doomsday preppers and combat shooter system

The shows "Doomsday Preppers" and Combat Shooter System "The Walking Dead" have created a lot of interest in the people referred to as survivalists and preppers

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd