Specify the differences in payment and treatment options


Problem: You are the case manager in an acute care hospital caring for a 24-year-old patient who has suffered a fractured neck and has become a quadriplegic.

Specify the differences in payment and treatment options for the patient if he was covered by insurance (managed plan), or if there was a third-party liability, fee for service, Medicare, or Medicaid.

Include the following:

1. Discuss any inclusions or exclusions for each.

2. Discuss which managed care plan you think would provide the best service in this situation.

Provide reference.

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Other Subject: Specify the differences in payment and treatment options
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