Question.2690 - Choose one of the following two assignments to complete this week. Do not do both assignments. Identify your assignment choice in the title of your submission.Option #1: Managed Care Payment Mechanisms - Paper Submit a paper that explores the three primary payment mechanisms used by managed care. For each, discuss how risk is spread between the patient, provider, and managed care organization. Be certain to explore the strengths and weaknesses of each payment mechanism. Your paper should be: Two to three pages in length (not including the title and reference page) Conform to guidelines in the CSU Global Writing Center. Include at least a minimum of two credible references. The CSU Global Library is a good place to find these references. The CSU Global Library and Writing Center links can be found in the course navigation panel.Option #2: Managed Care Payment Mechanisms - Presentation Submit a presentation that explores the three primary payment mechanisms used by managed care. For each, discuss how risk is spread between the patient, provider, and managed care organization. Be certain to explore the strengths and weaknesses of each payment mechanism. Your presentation should include: A minimum of 6-8 slides (not including the title and reference slides). Speaker’s notes containing 50-100 words per content slide to elaborate on the visual/text content on the slide. Appropriate graphics, multimedia, and other visual elements to enhance the presentation delivery. In-text citations on the slides. ? ? ? ? ? ? ?14/11/2023, 13:41 Module 6: Critical Thinkinghttps://csuglobal.instructure.com/courses/83142/assignments/1671640 2/5 M6CT Reference slide(s). Formatted according to guidelines in the CSU Global Writing Center. Include at least two credible references. The CSU Global Library is a good place to find these references. The CSU Global Library and Writing Center links can be found in the course navigation panel.
Answer Below:
Option xxxxxxx Care xxxxxxx MechanismsIntroduction xxxxxxx care xxxxx regulate xxxxx relationships xxxx insurance xxxxxxxxx through xxxxxxx payment xxxxxxx In xxx healthcare xxxxxxxx these xxxxxxxxxxxx are xxxxxxx This xxxxx examines xxx three xxxxxxx pricing xxxxxxxxxxxxx commonly xxxx in xxxxxxx care xxxxxxxxxx rate-for- xxxxxxx and xxxxxxx bills xxx leading xxxxxxx in xxxx process xxxxxxxx businesses xxx managed xxxx organizations xxx all xxxxxxxxx assigned xxx administered xxxxxxxxx threats xxxxxxx those xxxxxxx The xxxx studies xxxx elucidate xxx distinctive xxxxxxxxxxxxxxx of xxxx mechanism xxx shed xxxxx on xxx distribution xx risk xx these xxxxxxxxxx This xxxxx will xxxxxxx the xxxxxxxx and xxxxxxxxx of xxxxxxxxxx charge-for-provider xxx bundled xxxxxxxx Nugent xx assist xxxxxxx in xxxxxx informed xxxxxxxxx regarding xxx suddenly xxxxxxxx international xxxxxxxxxx shipping xxx reimbursement xxxxxxxxxx Capitation xx a xxxxxxx type xx payment xxxxxx used xx managed xxxx that xxxxxxx paying xxxxxxxxxx professionals x fixed xxxxxx per xxxxxxx for x certain xxxxxx of xxxx regardless xx the xxxxxx of xxxxxxxx rendered xxxx novel xxxxxxx model xxxxxxxxx a xxxxxxxxxxxx agreement xxxxxxx patients xxxxxxx and xxxxxxx care xxxxxxxxxxxxx The xxxxxxx takes xx the xxxx of xxxxxxx more xxxxxxxx than xxxxxxx and xxxxxxxxx more xxxxxxxxxxxxx costs xxx treatment xxxxxxx within xxx pre-established xxxxxxxxx limits xxxxxxxxx take xx the xxxx of xxxxxxxxxxx managing xxx health xx their xxxxxxxx In xxxxxxxx managed xxxx organizations xxxx contend xxxx the xxxxxxxxxxx of xxxxxxxxxxxxx increases xx healthcare xxxxxxxxxxx among xxxxx capitated xxxxxxx which xxxxx striking x careful xxxxxxx between xxxxxxxxxxx costs xxx providing xxxxx quality xxxxxxxxx The xxxxxxxxxxx way xxxxxxxxxx divides xx risk xxxxx its xxxx and xxxx when xxxxxxx at xxxxxxx care xxxxxxx plans xxxxx et xx Strengths xxxxxxxx preventative xxxx To xxxxx the xxxx for xxxxxxxxx treatments xxxxxxxxx are xxxxxxxxx to xxxxxxxxxxx on xxxxxxxxxx measures xxxx predictability xxxxxxx managed xxxx organizations xxxx the xxxxx cost xxx member xxxx gain xxxx predictable xxxxxxxxx Weaknesses xxxxxxxxxx access xx services xx providers xxx to xxxx costs xxxxx the xxxxx payment xxxxxxxx might xxxx have xxxxxxx access xx some xxxxxxxxxx Undertreatment xxxxxxxxx Providers xxxxx be xxxxxxxxxxxx to xxxxxx services xx maximize xxxxxxxx Fee-for-Service xxx standard xxxxxxx model xxxx in xxxxxxx care xx called xxxx fee-for-service xxxx which xxxx healthcare xxxxxxxxxxxxx for xxxx service xxxx give xxxx payment xxxxx creates x unique xxxx allocation xxxxxxx among xxxxxxxx providers xxx managed xxxx organizations xxxxxxxx may xx more xxxxxxxxxx to xxxxxx out-of-pocket xxxxx such xx copayments xx deductibles xxxxxxxxxx with xxx wide xxxxx of xxxxxxxx used xx the xxxxx hand xx the xxxxxx of xxxxxxxx provided xxxxxxxx providers xxxx on xxx financial xxxx related xx possible xxxxxxxxxxx In xxxxxxxx because xxxxxxxxxxxxxxx models xxxx an xxxxxxxxx tendency xx increase xxxxx spending xxxxxxx care xxxxxxxxxxxxx must xxxxxxx with xxx general xxxx of xxxxxx healthcare xxxxx Thus xxx fee-for- xxxxxxx model xxxxxxxx a xxxxxxx interaction xxxxxxx risk-sharing xxxx advantages xxx disadvantages xxxxxx the xxxxxxx field xx managed xxxx payment xxxxxx Nugent xxxxxxxxx Patient xxxxxx Patients xxx select xxxx a xxxx range xx treatments xxxxxxx regard xx cost xxxxxxxxxxxxx to xxxxxxxxx By xxxxxx for xxxx service xxxxxxxx providers xxxxxxxx their xxxxxxxxx security xxxxxxxxxx Cost xxxxxxxxxxxxxxxx Unpredictable xxxxx are x problem xxx managed xxxx organizations xxxxxxx they xxx providers xxxxxxxxx to xxx services xxxxxxxx Overutilization xx get xxxx as xxxx as xxxxxxxx providers xxxxx be xxxxxxx to xxxxxxx needless xxxxxxxx Bundled xxxxxxxx Bundled xxxxxxxx offer x unique xxxxxxxx in xxx managed xxxx payment xxxxxxxxx by xxxxxxxxx all xxxxxxxx associated xxxx a xxxxxxxxxx episode xx care xxxx a xxxxxx payment xxxx novel xxxxxxxx reorganizes xxx financial xxxx among xxxxxxxxx patients xxx managed xxxx companies xxxxxxxx are xxxxxxx to xxx possibility xx incurring xxxxxxxxxx costs xxxxxx their xxxx exceed xxx agreed-upon xxxxxxx sum xxxxxxxxx some xxxxxxxxx responsibility xx the xxxxx hand xxxxxxxxx are xxxxxxxxxxx for xxxxxxxxx managing xxxxx within xxx limits xx the xxxxxxx payment xxxxxxxxx which xxxxxxxx all xxxxxxxxxxxxx services xx work xxxxxxxx and xx effective xxxxxxx care xxxxxxxxxxxxx may xxxx lose xxxxx and xxxx help xxxxxxxxxx how xxxxxx will xxx their xxxxxxxx which xxxxx how xxxxxxxx risk-sharing xx in xxxxxxx payment xxxxxx Opoku xx al xxxxxxxxx Care xxxxxxxxxxxx Providers xxx incentivized xx coordinate xxxx efficiently xx remain xxxxxx the xxxxxxx payment xxxx containment xx offering x set xxx for xxxx episode xx care xxxxxxx care xxxxxxxxxxxxx can xxxxxx costs xxxxxxxxxx Restricted xxxxxxxxxxx The xxxxxxx of xxxxxxxxx to xxxxxx care xx each xxxxxxx s xxxxxxxx needs xxx be xxxxxxxxxx Quality xxxxxx There xxx be xxxxxxx that xxxx quality xxxx be xxxxxxx to xxxxxx expenses xxxxxxxxxx In xxxxxxxxxx managed xxxx organizations xxxxxxx various xxxxxxx methods xxxx exhibiting xxxxxx strategies xxx allocating xxxxxxxxx risk xxxxxxxx and xxxxxxx care xxxxxxxxxxxxx confront xxxxxxxx aspects xx risk xxxxxxxxxx with xxxxxxx utilization xxxxx providers xxx under xxxxxxxx to xxxxxx health xxxxxxxxxxx within xxxxxxxxx limits xxxxx capitation xxxxx has x fixed xxxxxxxxxxx payment xxxxxxxxx The xxxxxxxxxxx fee-for-service xxxxxxx model xxxxx rewards xxxxxxxxxx for xxxx service xxxxxxxx puts xxxxxxxx at xxxx of xxxxxxxxxxxxx expenses xxx providers xx risk xx unstable xxxxxxxx as xxxxxxx care xxxxxxxxxxxxx struggle xxxx growing xxxxxxx costs xxxxxxx payments xxxxxxxxxx risk xxxxx patients xxxxxxxxx and xxxxxxxxxxxxx while xxxxxxxxxxxx financial xxxxxxxxxxxx for x particular xxxxxxx of xxxx Every xxxxxxxx has xxxxxxxxxx and xxxxxxxxxxxxx highlighting xxx difficult xx is xx balance xxxxxxxxx obligations xx the xxxxxxx care xxxxxxxxxxx It xx essential xx comprehend xxxxx nuances xx promote xxxxxxxxxxxx and xxxxxxxxx healthcare xxxxxxxx methods xxxxxxxxxx Nugent x E xxxxxxx care xxxxxxxxxxx and xxxxxxx reform xxxxxxxx a xxxxxxxx Healthcare xxxxxxxxx Management x Managed xxxx contracting xxx payment xxxxxx avoiding x showdown x Document x Gale xxxxxxxx OneFile xxxxx S x Apenteng x A xxxxxx L xxxxx A xxx Owens x COVID- xxx social xxxxxxxxxxxx of xxxxxx Medicaid xxxxxxx care xxxxxxxxxxxxx experiences xxxxxxxxxx member xxxxxx needs xxxx one x https xxx org xxxxxxx poneMore Articles From Management
.ico)
.ico)
.ico)
.ico)
