What options do employers have for compensating providers

Assignment Help Operation Management
Reference no: EM132080415

Although MCOs are responsible for contracting with providers to deliver services to their members, MCOs have various networks they offer to their employer group customers to achieve different goals, like local/national networks, cost control, limited/expansive access... There are costs associated with each of these options, whether a higher or lower cost. If you are working for an employer in making the health care purchasing decisions: What options do employers have for compensating providers? What role does reinsurance play in provider reimbursement? What limitations exist (e.g., state or federal laws)? Provide examples to support your ideas.

Reference no: EM132080415

Questions Cloud

Elements of training and development geared toward improving : Analyze key elements of training and development geared toward improving the performance of the specific small business for which you are consulting.
Calculate the customer lifetime value : Calculate the customer lifetime value if this shopper remains loyal over a? 10-year life-span.
Document the business need and scope of the project : A Market Specification is developed to identify and document the business need and scope of the project.
Market performance of parent firms equity carve-out : Corporate Governance and Market Performance of Parent Firms Following Equity Carve-Out”.
What options do employers have for compensating providers : What options do employers have for compensating providers? What role does reinsurance play in provider reimbursement?
Identify the value-added and non value-added activities : Develop a flowchart for the pre-registration process at your university. Identify the value-added and nonvalue-added activities.
What are the main business entities for restaurant : What are the main business entities for a restaurant? Which would you choose and why?
Being able to recognize potential pressures : Being able to recognize potential pressures that require an organization to change its practices or processes is a vital for its success.
Swot analysis for mobile money transfer : Which of your identified opportunities will you pursue first and why? What legal and ethical implications are considered?

Reviews

Write a Review

Operation Management Questions & Answers

  The biggest challenges for new students

Managing your coursework and fitting school into your life are often the biggest challenges for new students.

  Learned from building electronic portfolios or eportfolios

What are some lessons learned from building electronic portfolios or ePortfolios?

  Assigned to develop new pediatric oncology service line

You are a member of a hospital project team assigned to develop a new pediatric oncology service line. Your team is expected to develop a business plan for presentation to the senior management team and the hospital board. As a team member, what alte..

  What is your preferred method of communication

Have you ever been misinterpreted in an e-mail, TM, or IM because the receiver could not see your facial expressions or hear your tone of voice?

  Type of product development effort

Which type of product development effort would be better suited to concurrent engineering—a radically new product involving cutting-edge product engineering technologies or the latest version of an existing product? Explain. In addition, there are se..

  Implications for successful implementation

Complete an analysis of the key external factors that have implications for successful implementation of the Johnson and Johnson healthcare organization’s strategy and goals/objectives. Examine Johnson and Johnson's organization industry and the comp..

  What cycle time would match capacity and demand

What cycle time would match capacity and demand if demand is 120 units a day, there are two shifts of 480 minutes each, and workers are given three half-hour breaks during each shift, one of which is for lunch or dinner?

  Confidence interval of population mean income of mba student

A sample of 16 MBA students taking OTM course in the spring 2016 at university campus, show an average income of $90,000 with the sample standard deviation of $8,000. Find the 95% confidence interval of the population mean income of MBA students.

  Limited communication is particularly vital

Alan Westin views that limited communication is particularly vital in which communities due to heightened stimulation and continuous physical and psychological confrontations between strangers?

  Describe the stages of group development

Describe the stages of group development. For each, discuss what questions the individual asks at that stage, and what the leader should do to facilitate it.

  How is conflict conceptualized differently under the unitary

How is conflict conceptualized differently under the unitary and pluralistic view of conflict in society? Explain how the Great Upring of 1877 laid the foundation for the future labor-management relations.

  What are the factors a manager must consider when attempting

What are the factors a manager must consider when attempting to lead a team that includes members from other cultures

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