How portability and creditable coverage affect cost control

Reference no: EM132316326 , Length: word count:550

Purchasing and Contracting Health Plan Options Worksheet -

Complete Parts A and B of this worksheet.

Part A -

Reference: Ch. 8 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.).

Compare cost control strategies of employer-sponsored health plans (when employers buy from insurance companies) to self-funded health plans (when employers cover costs of benefits).

Complete the table below.

	Employer-Sponsored Health Plans	Self-Funded Health Plans
General Comparison
Riders
Enrollment Periods
Provider Networks
Third-Party Administrators

Write a 50- to 150-word response that discusses how portability and creditable coverage affect cost control within group health plans.

Part B -

Refer to Ch. 8 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.).

Write a 150- to 350-word response to each of the following questions. Be clear and concise, use complete sentences, and explain your answers using specific examples.

1. How do participation contracts represent financial opportunities for providers?

2. What are positive and negative ramifications of discounted fee-for-service arrangements?

Cite any outside sources. For additional information on how to properly cite your sources, utilize the Reference and Citation Generator resource.

Reference no: EM132316326

Questions Cloud

Negotiating with other companies from other countries : Other than language, what are the main challenges a multinational manager should consider when negotiating with other companies from other countries? Why?

Prepare a cost of goods manufactured schedule for june 2017 : Prepare a cost of goods manufactured schedule for June 2017. Prepare an income statement through gross profit for June 2017 assuming net sales are $85,100.

Good way to remedy past discrimination : Can you please help me t answer this question: - Do you feel that affirmative action is a good way to remedy past discrimination?

How does this affect union-management relations : More states are enacting "right to work" laws. How does this affect union-management relations?

How portability and creditable coverage affect cost control : Write a 50- to 150-word response that discusses how portability and creditable coverage affect cost control within group health plans

Adjusted based on the needs of students : Do you believe that classroom management arrangements should be adjusted based on the needs of students? Why or why not?

Assertive communication in relationship : How can understanding aggressive, passive, and assertive communication in relationship to you, to supervisors, to co-workers, and to customers.

Using the concept of innovation : Using the concept of Innovation, what do you learn about Yahoo! that is important to it achieving strategic success?

What is the privately held corporation : What is the difference between a privately held corporation and a publically held corporation? What are some of the reporting differences between these two?

User Account

All Pages