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1. What is the role of the credentialing committee in a managed care organization? And why is this function so crucial?
2. What is the role of the medical director in a managed care organization? Why is this such a crucial role for the success of the organization?
3. Discuss pay for performance (P4P) in managed care. What are the pros and cons of the P4P approach to compensating providers?
4. What is meant by transitional case management (TCM) under managed care? Provide some specific examples of TCM functions.
5. What is meant by flow-down clauses in managed care contracts? Provide some specific examples.
In your analysis, does it make any difference on this division of the tax burden between workers and firms if the government levies the tax on workers, levies the tax on firms, or divides the tax between the two groups? Why or why not?
Determine a plan for solving this problem in the Plasti-Brack product line. Consider there may be both a short-term solution and a long-term solution. What impact does the forecast have on future capacity needs? What are the implications if the fo..
1. what can learning or work teams do to maximize productivity? value of a group.2. what is the value of storming in
Joe is going on a ‘survival hike' in the desert. He goes to a sporting goods store defines the hike, and asks the salesman to select suitable hiking boots for him.
How will you notify the sponsor of your serious error? Provide your response to the following questions: • Who are your stakeholders? • How do you plan to communicate with your stakeholders?
Employee engagement is an important concept for organizational success since it describes how committed employees are to their work.
A loan of $15 000 is taken out. If the interest rate on the loan is 7%, how much interest is due and what is the amount repaid ifa) The loan is due in seven months;b) The loan was taken out on April 7 and is due in seven months?
What would be the present value of a yearly annuity of $925.4 for 6 years if the appropriate interest rate is 7.5% p.a. and the first payment starts one year from today?
How else would a trader recognize pricing estimates as inefficient with regards to Priceline's share movement today.
Bill is the Operations Manager at Bonzo Chemical Manufacturing Company. One of his leaders have suggested that it might be valuable to measure productivity in the operations. What would you tell Bill about how to measure productivity in his operation..
Why are so many companies choosing to expand internationally and what are the advantages of expanding beyond the domestic market?
Recommend a strategy that the organization could undertake in order to improve the social skills of leaders within the organization and thereby positively influence their emotional intelligence. Support your recommendation with specific examples t..
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