Explain how the thoery of managed care with prospective payment
was expected to affect patient and...
Explain how the thoery of managed care with prospective payment
was expected to affect patient and provider incentives, and the
consequent effect on the cost and use of medical care.
Consider a recent patient care scenario and describe how it
could have been managed at a distance. • What training would be
needed? • What equipment would be used? • How would the patient and
his or her family respond to home tele-monitoring?
13. How is patient care managed ?
14. How do non active duty members become eligible
for Tricare prime ?
15. What are the deductibles and copays for Tricare
prime ?
The managed care system emerged as the alternative payment and
delivery mechanism to traditional fee-for-service indemnity
insurance. Discuss how managed care organizations work. What do all
managed care organizations have in common?
Identify patient care issues that can affect quality of care.
Identify gaps between current patient outcomes and desired patient
outcomes. Identify the relationship between Nurse Sensitive
Indicators and patient outcomes.
a)Briefly explain how the managed care tactics of a) coverage
networks, b) vertical integration, and c) fixed payments can help
reduce premiums.
b)State and explain two different ways to fix the problem of
risk selection and two different ways to solve the problem of
adverse selection in Bismarck systems.
c)State and briefly describe four policies aimed to curb the
impact of population aging on health finances
1.How does the way a company is managed affect its competitive
advantage?
2. Explain the principles of Mary Parker Follett’s human
resource management
3. Describe the three-step process that managers use to make
sense of their changing environments.
4. What steps can managers take to improve ethical decision
making?
No plagiarism please!!!!!!!!
Review managed care contracts for
different payment plans (PPO, HMO, Fee for services, etc.) and
describe provider incentives and risks under each of the following
reimbursement methods:
Cost-based
Charge-base (including discounted
charges)
Per procedure
Per diagnoses
Per diem
Global pricing
Capitation