{"id":25304,"date":"2021-01-14T08:56:37","date_gmt":"2021-01-14T08:56:37","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=25304"},"modified":"2021-01-14T08:56:37","modified_gmt":"2021-01-14T08:56:37","slug":"examine-the-importance-of-the-continuum-in-understanding-the-differences-among-managed-care-plans-managed-care-models","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2021\/01\/14\/examine-the-importance-of-the-continuum-in-understanding-the-differences-among-managed-care-plans-managed-care-models\/","title":{"rendered":"Examine the importance of the continuum in understanding the differences among managed care plans. Managed Care Models"},"content":{"rendered":"<style type=\"text\/css\"><\/style><h4>Examine the importance of the continuum in understanding the differences among managed care plans.<br \/>\nManaged Care Models<\/h4>\n<p>Managed care\u2019s 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:<\/p>\n<p>Tighter elements of control over health care delivery<br \/>\nMore direct interaction with providers<br \/>\nIncreased overhead cost and complexity<br \/>\nGreater control of utilization<br \/>\nIncreased control on quality<br \/>\nThe 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:<\/p>\n<p>Examine the importance of the continuum in understanding the differences among managed care plans.<br \/>\nIdentify an MCO functioning in both your area and in some other parts of the country (for example, BCBS of California and BCBS of Georgia). Compare the organizations relative to the type of managed care products each offers.<br \/>\nCompare and contrast your findings with what you learned in readings this week.<br \/>\nIf you were an employer looking for a managed care product for your employees, which of these three: HMO, PPO, or CDHP would you choose and why?<br \/>\nAfter answering the above questions, read the following information:<\/p>\n<p>There are several key elements required in a physician\u2019s 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:<\/p>\n<p>Explain the key elements of the physician\u2019s contract.<br \/>\nExamine the common clauses and provisions of the physician\u2019s contract.<br \/>\nExplain the contract negotiation and credentialing process.<br \/>\nplease cite all sources<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>Examine the importance of the continuum in understanding the differences among managed care plans. Managed Care Models Managed care\u2019s 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: Tighter elements of control over health care&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-25304","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Examine the importance of the continuum in understanding the differences among managed care plans. 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