What ways managed care actually manages costs

Assignment Help Science

Reference no: EM133482419

Assignment:

Your friend is a bookkeeper for a very busy two-provider clinic. Managing client accounts that are covered under a myriad of insurance plans providing differing reimbursement rates is taking an increasing amount of time and energy. The providers have already determined not to take anymore Medicare or Medicaid clients and are discussing dropping other insurance plans. She has asked you about the legal and ethical implications of this decision.
Describe what factors should be considered to ensure that the health care of vulnerable populations meets the IOM six aims.
Describe In what ways managed care actually manages costs and analyze if it does so without diminishing the quality of care. If so, how does it accomplish this?
Evaluate how third-party payment distorts the market for health care. If it is so distortionary, why does every wealthy country insist on using a third-party intermediary to purchase health care?
Describe the nursing opportunities and roles that evolved as a result of ACA implementation. Has this enhanced healthcare access?
Describe the difference between employer-sponsored health insurance plans and private (non-group) plans.
Assess how the scope of practice laws for nurse practitioners in your state affect the health care available to various populations and healthcare in general.

Activity Outcomes

Describe healthcare costs, various forms of care delivery, resource allocation, the scope of practice, and health insurance issues.

Reference no: EM133482419

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