What are the advantagesof using the gatekeeper system

Assignment Help HR Management

Reference no: EM131356818

In an HMO, the primary care physician acts as the "gatekeeper" to all higher levels of care that the patient may need. In theory, this means that the physician decides what is best for the patient and coordinates his or her care, while at the same times working to control costs and trying to ensure the delivery of care in the most efficient manner possible.

Thinking about this from both a provider's and a payer's perspectives, answer the following questions:

What are the advantages and disadvantages of using the gatekeeper system in terms of progressing through the levels of care? Provide an example of each perspective.

What are at least 2 advantages and 2 disadvantages for each group? Provide a rationale for your choices.

This MUST be Plagiarism Free as well as SUBSTANTIVE! All References & Citing Where/When Necessary.

Reference no: EM131356818

Questions Cloud

Prepare a table of entities and activities : Prepare an annotated table of entities and activities. Indicate on this table the groupings, bubble numbers, and bubble titles to be used in preparing a level 0 logical DFD.

How organization might design and control access to system : Describe the contents of such a knowledge management system for an organization to which you belong. Discuss how your organization might design, create, use and control access to the system.

What are your thoughts on the use of this type of technology : What are some good examples of these technologies and are we in a Communications Revolution? What are your thoughts on the use of this type of technology and its effect on our society

Draw a systems flowchart : If any exception routines are described in the narrative, they should be shown on a separate page (referenced through an off-page connector), so that the exception routines will not clutter the flowcharting of normal activities.

What are the advantagesof using the gatekeeper system : In an HMO, the primary care physician acts as the "gatekeeper" to all higher levels of care that the patient may need. In theory, this means that the physician decides what is best for the patient and coordinates his or her care, while at the same..

What you may disclose as part of your testimony : Assume you have been called as an expert witness in a court proceeding. What considerations or limitations does the APA Ethics Code place upon you in terms of what you may disclose as part of your testimony

Does given software provide a good level of flexibility : Search the Web to locate the home page of an OLAP or business intelligence software vendor. Download a demo version of the software and try it. Is it easy to use?

Collaborative relationship between np student and preceptor : Discuss the collaborative relationship between the NP student and Preceptor. Include leadership, professionalism, communication/collaboration

Does weight constitute a disability : with most things related to us human beings, no issue is exactly black or white. There are always differences of opinion. And even with laws that have been well established, their implementation can be subject to interpretation. Please read the ca..

User Account

All Pages