Question.1127 - Option #1: Managed Care Payment Mechanisms - PaperSubmit 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.
Answer Below:
Module xxxxxxxx Thinking xxxxxxxx FawziColorado xxxxx University xxxxxxxxx Thomas xxxxxxxxxxxxxx Option xxxxxxx Care xxxxxxx MechanismsIntroductionManaged xxxx firms xxxxxxxx their xxxxxxxxxxxxx with xxxxxxxxx companies xxxxxxx various xxxxxxx schemes xx the xxxxxxxxxx industry xxxxx preparations xxx crucial xxxx essay xxxxxxxx the xxxxx primary xxxxxxx bureaucracies xxxxxxxx used xx managed xxxx capitation xxxxxxxxxxxxxxxx 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 xxxxxxxxxxxxxxxxxxxx is x special xxxx of xxxxxxx system xxxx in xxxxxxx care xxxx entails xxxxxx healthcare xxxxxxxxxxxxx a xxxxx amount xxx patient xxx a xxxxxxx amount xx time xxxxxxxxxx of xxx number xx services xxxxxxxx This xxxxx payment xxxxx describes x risk-sharing xxxxxxxxx between xxxxxxxx doctors xxx managed xxxx organisations xxx patient xxxxx on xxx risk xx needing xxxx services xxxx planned xxx incurring xxxx out-of-pocket xxxxx for xxxxxxxxx However xxxxxx the xxxxxxxxxxxxxxx financial xxxxxx providers xxxx on xxx duty xx effectively xxxxxxxx the xxxxxx of xxxxx patients xx addition xxxxxxx care xxxxxxxxxxxxx must xxxxxxx with xxx possibility xx unanticipated xxxxxxxxx in xxxxxxxxxx utilization xxxxx their xxxxxxxxx members xxxxx means xxxxxxxx a xxxxxxx balance xxxxxxx controlling xxxxx and xxxxxxxxx high-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-ServiceOne xxxxxxxx payment xxxxx used xx managed xxxx is xxxxxx fee-for-service xxxxx pays xxxxxxxxxx professionals xxx each xxxxxxx they xxxx This xxxxxxx model xxxxxxx a xxxxxx risk xxxxxxxxxx dynamic xxxxx patients xxxxxxxxx and xxxxxxx care xxxxxxxxxxxxx Patients xxx be xxxx vulnerable xx higher xxxxxxxxxxxxx costs xxxx as xxxxxxxxxx or xxxxxxxxxxx associated xxxx the xxxx range xx services xxxx On xxx other xxxx if xxx amount xx services xxxxxxxx declines xxxxxxxxx take xx the xxxxxxxxx risk xxxxxxx to xxxxxxxx instability xx addition xxxxxxx fee-for-service xxxxxx have xx intrinsic xxxxxxxx to xxxxxxxx total xxxxxxxx managed xxxx organizations xxxx contend xxxx the xxxxxxx risk xx rising xxxxxxxxxx costs xxxx the xxxxxxxxxxxxxxx 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 xxxxxxxxxxxxxxx payments xxxxx a xxxxxx approach xx the xxxxxxx care xxxxxxx landscape xx combining xxx services xxxxxxxxxx with x particular xxxxxxx of xxxx into x single xxxxxxx This xxxxx approach xxxxxxxxxxx the xxxxxxxxx risk xxxxx providers xxxxxxxx and xxxxxxx care xxxxxxxxx Patients xxx exposed xx the xxxxxxxxxxx of xxxxxxxxx additional xxxxx should xxxxx care xxxxxx the xxxxxxxxxxx bundled xxx requiring xxxx financial xxxxxxxxxxxxxx On xxx other xxxx providers xxx responsible xxx carefully xxxxxxxx costs xxxxxx the xxxxxx of xxx bundled xxxxxxx structure xxxxx requires xxx participating xxxxxxxx to xxxx together xxx be xxxxxxxxx Managed xxxx organisations xxx also xxxx money xxx need xxxx predicting xxx people xxxx use xxxxx services xxxxx shows xxx flexible xxxxxxxxxxxx is xx bundled xxxxxxx models xxxxx et xx Strengths xxxx coordination xxxxxxxxx are xxxxxxxxxxxx to xxxxxxxxxx care xxxxxxxxxxx to xxxxxx within xxx bundled xxxxxxx Cost xxxxxxxxxxx By xxxxxxxx a xxx fee xxx each xxxxxxx of xxxx managed xxxx organizations xxx reduce xxxxx Weaknesses xxxxxxxxxx flexibility xxx ability xx providers xx tailor xxxx to xxxx patient's xxxxxxxx needs xxx be xxxxxxxxxx Quality xxxxxx There xxx be xxxxxxx that xxxx quality xxxx be xxxxxxx to xxxxxx expenses xxxxxxxxxxxx conclusion xxxxxxx care xxxxxxxxxxxxx utilize xxxxxxx payment xxxxxxx each xxxxxxxxxx unique xxxxxxxxxx for xxxxxxxxxx financial xxxx Patients xxx managed xxxx organizations xxxxxxxx distinct xxxxxxx of xxxx associated xxxx service xxxxxxxxxxx Still xxxxxxxxx are xxxxx pressure xx manage xxxxxx effectively xxxxxx budgetary xxxxxx under xxxxxxxxxx which xxx a xxxxx per-patient xxxxxxx structure xxx traditional xxxxxxxxxxxxxxx payment xxxxx which xxxxxxx clinicians xxx each xxxxxxx rendered xxxx patients xx risk xx out-of-pocket xxxxxxxx and xxxxxxxxx at xxxx of xxxxxxxx finances xx managed xxxx organizations xxxxxxxx with xxxxxxx overall xxxxx Bundled xxxxxxxx distribute xxxx among xxxxxxxx providers xxx organizations xxxxx streamlining xxxxxxxxx arrangements xxx a xxxxxxxxxx episode xx care xxxxx approach xxx advantages xxx disadvantages xxxxxxxxxxxx how xxxxxxxxx it xx to xxxxxxx financial xxxxxxxxxxx in xxx managed xxxx environment xx is xxxxxxxxx to xxxxxxxxxx these xxxxxxx to xxxxxxx long-lasting xxx efficient xxxxxxxxxx delivery xxxxxxx ReferencesNugent 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 OneFileOpoku x T xxxxxxxx B x Kimsey x Peden x Owens x COVID- xxx social xxxxxxxxxxxx of xxxxxx Medicaid xxxxxxx care xxxxxxxxxxxxxx experiences xxxxxxxxxx member xxxxxx needs xxxx one x https xxx org xxxxxxx poneMore Articles From Medicine
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