Managed Care Models
Managed care’s level of control and relationships with medical service providers has been described on a continuum of control from the least controlled managed care model to the most restrictive as:
The continuum of managed care models helps to understand the level of control for access, quality, and costs for each model. It is also true that managed care models are influenced by the market they serve. The geographic region impacts the design of managed care models. On the basis of what you learned in your readings of this week and the information provided in this assignment, answer the following questions:
After answering the above questions, read the following information:
There are several key elements required in a physician’s contract with an MCO. A typical contract between an MCO and a physician specifies the types of services offered, the number of members or lives covered in the plan, the standards and credentials needed to be maintained by the provider, and, of course, compensation. Utilize your readings and search the South University Online library or the Internet to answer the following questions:
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