"Capitation, Payers, and Provider Behavior" Please respond to the following:

profilemanara

1, Suggest at least one (1) method by which capitation rates are set for health maintenance organizations in Medicare. Provide one (1) example of an HMO with these types of set rates order to support your response. 

 

2, Compare the primary available economic resources that health insurance payers may use to monitor, assess, and regulate health care providers' behaviors. Evaluate the degree to which alternative provider payment methods (e.g., capitation, pay for performance, etc.) impact HMO economic and business performance. Provide one (1) example of such a type of method to support your response. 

    • 6 years ago
    • 6
    Answer(3)

    Purchase the answer to view it

    NOT RATED
    • attachment
      medicare_as_one_of_the_managed_health_care_organizations__uses_hospital_inpatient_rate.docx

    Purchase the answer to view it

    NOT RATED
    • attachment
      capitation_payers_and_provider_behavior.docx

    Purchase the answer to view it

    NOT RATED
    • attachment
      week_4_discussion.docx
    Bids(1)