Type of managed care plan

Assignment Help Business Management
Reference no: EM132857685

One of the biggest challenges for new healthcare managers/directors to understand is the payer source of the revenue side of their budgets. Where does this money come from? How is the plan, no matter the type administered? Who is the "gatekeeper" of care for the beneficiary? What are the types of insurer programs- underneath the alphabet soup of payers? (PPO, HMO, POS etc.)

1. Describe the primary strengths and advantages, and weaknesses and disadvantages, of each type of managed care plan.

2. Describe the impact of PPACA-Obama Care on the managed care process. This will require a little research, make sure you consider how this will impact Medicare and Medicaid, along with Commercial insurance carriers.

Reference no: EM132857685

Questions Cloud

Consolidated omnibus budget reconciliation act : Discuss the federal insurance mandate that was enacted as part of the 1986 Consolidated Omnibus Budget Reconciliation Act (COBRA).
How communication influence to conflict in relationships : Research what resources are available for abuse victims by doing an online map search within a 10 mile radius of where you live, (Sumter, South Carolina.)
Short-term policies : Your friend is self-employed. he has been buying health insurance from the exchange for him and his family, but it is very expensive.
NIT3171 ICT Business Analytics and Data Visualisation : NIT3171 ICT Business Analytics and Data Visualisation Assignment Help and Solution, Victoria University - Assessment Writing Service
Type of managed care plan : Describe the primary strengths and advantages, and weaknesses and disadvantages, of each type of managed care plan.
What has been cultural upbringing in expressing emotions : What has been your cultural upbringing in expressing your emotions? Do you think you have learned to express certain emotions and hold in certain emotions?
What would be way to manage some of self-defeating thoughts : One of the possible causes of anxiety is cognitive distortions. What would be the best way to manage some of the self-defeating thoughts?
Find the mean-median and mode for the data : Find the mean, median, and mode for the data on the number of sick days used for a group of employees below:
Appropriate use normal approximation to the binomial : In the following problem, check that it is appropriate to use the normal approximation to the binomial. Then use the normal distribution to estimate the request

Reviews

Write a Review

Business Management Questions & Answers

  Whether or not a trust is created in the given situations

State whether or not a trust is created in each of the given situations: -  A declares herself trustee of "the bulk of my securities" in trust for B. Please explain.

  Multiple cores on a processor

Comment briefly on how having multiple cores on a processor affects the memory systems design and potential performance.

  Supportive-successful organization conditions

As you reflect on the kind of position you want and the kind of company you want to eventually be employed in, consider what kind of organizational conditions.

  Relationship between crises and change

Relationship between crises and change is critical in the progression of module - Critically evaluates key arguments from both a scholarly and a practitioner-oriented point of view

  Assignment on clearances for health care workers

Assignment 1: Clearances for Health Care Workers Based on the Pennsylvania Child Abuse Clearance requirements, what clearances do the following Hospital staff require?

  Understanding decision-making as a process

Can someone help me explaining the questions with examples of the following: Understanding Decision-Making as a Process

  Data analytics for competitive advantage

Provide examples of how a system thinking approach can achieve the said objectives for the management and staff of the fledging company.

  Management skills include technical skills

You just graduated from the university and you are now beginning your first job. You remember that management skills include technical skills

  Prepare strategic objectives for your new division

Prepare strategic objectives for your new division of the existing business in a balanced scorecard format in the context of key trends, assumptions and risks.

  Why are you for regional trading blocks

Why are you for regional trading blocks? Explain how regional trading blocs affect business at the local, country, and international level.

  How would you advise your board of directors

How would you advise your Board of Directors in relation to their desire to introduce team working into their plants in China

  Characteristics of service

Bowers Employee Success Service teaches a four-hour class on grooming and dress-for-success. Use all characteristics of service to describe this teaching service and provide one method that can be used to reduce the problems associated with each c..

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