Question.5415 - Module 6 DiscussionDiscussion InstructionPurpose of this DiscussionTo explore the role of managed care principles and their effect and current role in healthcare administration.InstructionsPick three managed care methods utilized for monitoring and/or controlling costs: name the methods and describe what you like or dislike about them. Whether you like or dislike, do you think they have been successful?
Answer Below:
Health xxxxxxxxxxx organizations xxxxxxxxx provider xxxxxxxxxxxxx and xxxxxxxxxx have xxxx the xxxxxx managed xxxx strategies xxxx to xxxxx and xxxxxx healthcare xxxxxxxxxxxx In xxxxxxxxxx with xxxx capitation xxxxxxx paying xxxxxxx professionals x set xxx for xxxx patient xxx a xxxxxxxxxxxxx period xxxxxxxxxxxx of xxx quantity xx kind xx services xxx patient xxxxx Boachie xxxxxxx Capitation xxx be xxxxxxxxxxx regarded xx they xxxx been xxxxxxxx for xxxxxxxxxxxxx on xxxxxxxxxxxx care xxxxxxx back xx needless xxxxxxxx and xxxx helping xx limit xxxxxxxxxx spending xx nexus xxxx this xxxxxxxxxx encouraged xxxxxxxxx in xxxxx to xxxxxxx efficiency xxx successfully xxxxxx expenses xxxxxxx it xxxxx have xx impact xx the xxxxxxxxx since xx might xxxxxxx them xxxx treating xxxxxxxxx or xxxxxxxxx patients xx keep xxxxx down xxxxx could xxxxxx in xxxxxxxxxxxxxxx care xxxx can xxxx to x focus xx quantity xxxx quality xx the xxxxx payment xxx not xxxxxxx for xxx actual xxxxx of xxxxxxxx The xxxxxxxxxxxxx of xxxxxxxxxx is xxxxx on xxxxxxxxxxx cost xxx promoting xxxxxxxxxx care xxx its xxxxxxxxxxxxx depends xx the xxxxxxxx s xxxxxxx to xxxxxxx quality xxx cost xxxxxxxxxxx without xxxxxxxxxxx patient xxxx PPOs xx Preferred xxxxxxxx organizations xxxx been xxxxxxxx patients x network xx preferred xxxxxxxxx they xxx visit xx a xxxxxxxxxx rate xxxxx patients xxx still xxxxxxxxx out-of-network xxxxxxxxx however xxxx pay xxxxxx out-of-pocket xxxxx Landon xx al xxxxxxx the xxxxxxxxx has xxxx highly xxxxxxxxx for xxxxxxxx where xxxx may xxx understand xxx financial xxxxxxxxxxx in xxxxx to xxxxxx out-of-network xxxxxxxxx This xxxxxxxx is xxxxxxxxx since xxxx is xxxxxxxx and xxxxx it xxxxxxxxxx to xxxxxxxx however xxxx have xxxx less xxxxxxxxx in xxxxx to xxxxxxx costs xxxxxxxxx to xxxx restrictive xxxxxx such xx HMOs xx the xxxxx hand xxxx need xx choose x primary xxxx physician xxx coordinating xxx for xxxxxxxxxx where xxxxxxxxx from xxx needed xxx specialist xxxxxx and xxxxxxxxxxxxxx care xxx been xxxxxxxxx not xxxxxxx Marchildon xx al xxxx encourages xxxxxxxxxx care xxx disease xxxxxxxxxx reducing xxxxxxxxx healthcare xxxxx whereas xxxxxxx provider xxxxxx and xxx need xxx referrals xxxxxxxxxxx patients xx order xx seek xxxx direct xxxxxx to xxxxxxxxxxxx ReferencesBoachie x K xxxxxxx E xxxxxx of xxxxxxxxxx payment xxxxxx on xxxxxx outcomes xxxxxxxxxx utilization xxx referrals xx Ghana xxxx Global xxxxxx Health x Landon x E xxxxxxxxx A x Anderson x S xxxxx J xxxxx V xxxxxxx J x Differences xx Use xx Services xxx Quality xx Care xx Medicare xxxxxxxxx And xxxxxxxxxxx Medicare xxx Study xxxxxxxx differences xx use xx services xxx quality xx care xxxxxxxxx Medicare xxxxxxxxx and xxxxxxxxxxx Medicare xxxxxx Affairs x Marchildon x P xxxxxxxxxxxxxxxxx S xxxxx M xx Belvis x G xxxxx C xxxxxxxx D xxxxxxx W xxxxxxxxx higher xxxxxxxxxx primary xxxx through xxxxxxx registration x review xx twelve xxxxxxxxxxx countries xxxxxx policy xMore Articles From HCA 6100 Introduction to Healthcare Administration
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