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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.

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nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxxxx Critical xxxxxxxx nbsp xxxx Mohammed xxxxxxxxxxxxx State xxxxxxxxxx GlobalHCM xxxxxx ClobesNovember xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxx nbsp xxxxxx Managed xxxx Payment xxxxxxxxxxxxxxxxxxxxxxxxxxxxx care xxxxx regulate xxxxx relationships xxxx insurance xxxxxxxxx through xxxxxxx payment xxxxxxx In xxx healthcare xxxxxxxx these xxxxxxxxxxxx are xxxxxxx This xxxxx examines xxx three xxxxxxx pricing xxxxxxxxxxxxx commonly xxxx in xxxxxxx care xxxxxxxxxx rate-for-carrier xxx bundled xxxxx The xxxxxxx players xx this xxxxxxx mdash xxxxxxxx businesses xxx managed xxxx organizations xxxxx are xxx carefully xxxxxxxx and xxxxxxxxxxxx financial xxxxxxx through xxxxx systems xxx next xxxxxxx will xxxxxxxxx the xxxxxxxxxxx characteristics xx each xxxxxxxxx and xxxx light xx the xxxxxxxxxxxx of xxxx in xxxxx frameworks xxxx essay xxxx examine xxx benefits xxx drawbacks xx capitation xxxxxxxxxxxxxxxxxxx and xxxxxxx payments xxxxxx to xxxxxx readers xx making xxxxxxxx decisions xxxxxxxxx the xxxxxxxx changing xxxxxxxxxxxxx healthcare xxxxxxxx and xxxxxxxxxxxxx nbsp 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 nbsp xxxxxxxxxxxxxxxxxx standard xxxxxxx model xxxx in xxxxxxx care xx called xxxxxxxxxxxxxxx which xxxx healthcare xxxxxxxxxxxxx for xxxx service xxxx give xxxx payment xxxxx creates x unique xxxx allocation xxxxxxx among xxxxxxxx providers xxx managed xxxx organizations xxxxxxxx may xx more xxxxxxxxxx to xxxxxx out-of-pocket xxxxx such xx copayments xx deductibles xxxxxxxxxx with xxx wide xxxxx of xxxxxxxx used xx the xxxxx hand xx the xxxxxx of xxxxxxxx provided xxxxxxxx providers xxxx on xxx financial xxxx related xx possible xxxxxxxxxxx In xxxxxxxx because xxxxxxxxxxxxxxx models xxxx an xxxxxxxxx tendency xx increase xxxxx spending xxxxxxx care xxxxxxxxxxxxx must xxxxxxx with xxx general xxxx of xxxxxx healthcare xxxxx Thus xxx fee-for-service xxxxx captures x complex xxxxxxxxxxx between xxxxxxxxxxxx with xxxxxxxxxx and xxxxxxxxxxxxx within xxx complex xxxxx of xxxxxxx care xxxxxxx models xxxxxx Strengths xxxxxxx choice xxxxxxxx can xxxxxx from x wide xxxxx of xxxxxxxxxx without xxxxxx to xxxx Reimbursement xx providers xx paying xxx each xxxxxxx rendered xxxxxxxxx maintain xxxxx financial xxxxxxxx Weaknesses xxxx unpredictability xxxxxxxxxxxxx costs xxx a xxxxxxx for xxxxxxx care xxxxxxxxxxxxx because xxxx pay xxxxxxxxx according xx the xxxxxxxx rendered xxxxxxxxxxxxxxx To xxx paid xx much xx possible xxxxxxxxx could xx enticed xx provide xxxxxxxx services xxxx 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 xxxx ConclusionIn xxxxxxxxxx managed xxxx organizations xxxxxxx various xxxxxxx methods xxxx exhibiting xxxxxx strategies xxx allocating xxxxxxxxx risk xxxxxxxx and xxxxxxx care xxxxxxxxxxxxx confront xxxxxxxx aspects xx risk xxxxxxxxxx with xxxxxxx utilization xxxxx providers xxx under xxxxxxxx to xxxxxx health xxxxxxxxxxx within xxxxxxxxx limits xxxxx capitation xxxxx has x fixed xxxxxxxxxxx payment xxxxxxxxx The xxxxxxxxxxx fee-for-service xxxxxxx model xxxxx rewards xxxxxxxxxx for xxxx service xxxxxxxx puts xxxxxxxx at xxxx of xxxxxxxxxxxxx expenses xxx providers xx risk xx unstable xxxxxxxx as xxxxxxx care xxxxxxxxxxxxx struggle xxxx growing xxxxxxx costs xxxxxxx payments xxxxxxxxxx risk xxxxx patients xxxxxxxxx and xxxxxxxxxxxxx while xxxxxxxxxxxx financial xxxxxxxxxxxx for x particular xxxxxxx of xxxx Every xxxxxxxx has xxxxxxxxxx and xxxxxxxxxxxxx highlighting xxx difficult xx is xx balance xxxxxxxxx obligations xx the xxxxxxx care xxxxxxxxxxx It xx essential xx comprehend xxxxx nuances xx promote xxxxxxxxxxxx and xxxxxxxxx healthcare xxxxxxxx methods xxxx nbsp xxxx 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 amp xxxxx C xxxxxx and xxxxxx determinants xx health xxxxxxxx managed xxxx organizations' xxxxxxxxxxx addressing xxxxxx social xxxxx Plos xxx e xxxxx doi xxx journal xxxx nbsp

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