What is the role of third party administrator in health care

Assignment Help Operation Management
Reference no: EM131275470

Third Party Administrator

From your text readings and/or research from the web and/or the virtual library:

What is the role of a third party administrator (TPA) in health care?

What type of regulations must a TPA follow when processing claims, for example?

Are TPAs a good thing for managed care or a bad thing? Provide examples that support your opinions.

Respond to two other students. Please cite references in your post which should be 150-200 words.

Reference no: EM131275470

Questions Cloud

Makes the bold statement everyones in sales : What methods could retailers use to manage peak periods/cycles? Todd Cohen, in his new book, makes the bold statement "Everyone's in Sales". Do you agree or disagree with him?
Reimbursement and the employer : Although MCOs are responsible for contracting with providers to deliver services to their members, MCOs have various networks they offer to their employer group customers to achieve different goals, like local/national networks, cost control, limited..
Create service blueprint that depicts an overnight stay : My assignment is to create a service blueprint that depicts an overnight stay in a nationally-recognized hotel chain, i.e., The Wingate by Wyndham. The blueprint should capture the process, which begins with a client's call to the reservationist and ..
Job satisfaction among associates is low-job performance : Mr. Crane is the manager of a video production company. To maximize efficiency, he assigns associates to departments (e.g. film department, editing department, sound department, etc.) according to their talents and skills. After time passes, he obser..
What is the role of third party administrator in health care : What is the role of a third party administrator (TPA) in health care? What type of regulations must a TPA follow when processing claims, for example? Are TPAs a good thing for managed care or a bad thing? Provide examples that support your opinions.
Type of information would you require to make recommendation : A philanthropist wishes to bequest $500,000 for a cancer program. After some investigation, the philanthropist decides that the following interventions are possible; What type of information would you require to make a recommendation? What additional..
Require to determind need from each stakeholder perspective : You live in a state with a certificate of need program. The CON program attempts to balance the growth of health care facilities and services with need. Need is determined from many perspectives, based on multiple and conflicting objectives. Identify..
Is globalization good or bad for consumers : Is Globalization Good or Bad for Consumers? Which is more important, collaboration or competition in the business world?
Audience of your marketing research efforts : What kinds of people are likely to be the audience of your marketing research efforts? How might you present your findings differently based on different potential audiences?

Reviews

Write a Review

Operation Management Questions & Answers

  Identify a problem in your current job or previous job

Identify a problem in your current job or a previous job, such as inadequate use of technology, inefficient procedures, spotty customer service, poor product quality, low morale, or a personnel problem. Assume your boss agrees with your criticism and..

  Assume you are the responsible senior executive

Assume you are the responsible senior executive of a hospital in a city with a population of 30,000 people, located about 50 miles away from a large city

  Continuous review policy

The annual sugar inventory' holding cost is $800 per ton. What is the optimal cycle service level? How much safety inventory' should the company hold under a continuous review policy?

  Why companies engage in international business

Expanding sales is listed as one of several reasons why companies engage in international business. Large multinational firms are given as examples, including General Motors. Give an example of a Wisconsin firm that has expanded sales internationally..

  The effective annual after-tax cost of debt capital

Bristol Myers Squibb, an international pharmaceutical company, is initiating a new project for which it requires $2.5 million in debt capital. The current plan is to sell 20-year bonds that pay 4.2% per year, payable quarterly, at a 3% discount on th..

  Analyze two of the four consequences of behavior

Analyze two of the four consequences of behavior, and illustrate an incidence where a combination of those two would occur together.

  Used in discounting this purchase transaction

Dubois Inc. has completed the purchase of new Dell computers. The fair value of the equipment is $824,400. The purchase agreement specifies an immediate down payment of $227,800 and semiannual payments of $69,940 beginning at the end of 6 months for ..

  True of porter five-force model

Which of the following statements is true of Porter’s five-force model?

  How it can improve service delivery to its citizens

Select one best practice from an organization or industry which you are familiar with also then whether which best practice can be implemented into the culture of a governmental entity also describe how it can improve service delivery to its citiz..

  At what value of annual cash flow would beverly

If Beverly Enterprises has a cost of capital equal to 15 percent, at what value of annual cash flow would Beverly Enterprises be likely to sell the nursing home?

  What is the annual cost for ordering item

Item X is a standard item stocked in a company's inventory of component parts. Each year the firm, on a random basis, uses about 1,700 of item X, which costs $25 each. Storage costs, which include insurance and cost of capital, amount to $4 per unit ..

  Describe the stages of group development

Describe the stages of group development. For each, discuss what questions the individual asks at that stage, and what the leader should do to facilitate it.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd