HA3120D Essentials of Managed Care Homework: Physician Reimbursement- National American University
Directions
With the increasing cost of health care, MCOs have been under tremendous pressure to control health care costs, including physician reimbursement. In this homework, you are to look at some of the issues that are involved in physician reimbursement.
Your homework is to write a paper that addresses the following:
• What are the different methods that MCOs reimburse providers for health care services?
• How does reimbursement for these services vary based on the type of MCO models (Group, Staff, IPA, PPO...)
• In which situations would members/patients pay the MCO directly?
• How do you think reimbursement impacts how care is delivered to the patient?
• Is this good or bad? Provide examples,
Format your homework according to the give formatting requirements:
• The answer must be using Times New Roman font (size 12), double spaced, typed, with one-inch margins on all sides.
• The response also includes a cover page containing the student's name, the title of the homework, the course title, and the date. The cover page is not included in the required page length.
• Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.