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Managed care can be considered any system of delivering health services in which care is delivered by a specified network of doctors, hospitals, and clinics that all agree to comply with the care regimes established by a care-management process. Providers may receive a capitated payment for providing all medically necessary care to enrollees or may be paid on a fee-for-service basis. Managed care often involves a defined delivery system of providers with some form of contractual arrangement with a health plan.
What are some of the areas and issues that MCOs try to control? How effective do you feel the MCOs in your own area have been in these efforts?
Build alternative courses of action for your business problem statement and objectives from last week's discussion posting. You may change your scenario; however, this will entail more work.
Over last year 1,400 injections were administered at a clinic. In five of these instances, incorrect dose was given. Illustrate what is epmo metric also illustrate what six sigma level does it correspond to.
Imagine you have just been promoted to be the president of your company. You are tasked to create a culture that thrives on team building. You are also required to build a performance rewards program.
There are 6 important steps in the strategic sourcing process: 1. Access Opportunities, 2. Profile internally & externally, 3. Develop the Sourcing Strategy, 4. Screen Suppliers & Create Selection Criteria, 5. Conduct Supplier Selection, and 6. Negot..
Business disruption has become a serious concern of the company president who wants to see a detailed plan before the work begins. She explains that current work must be completed in the old hangar and all new work is to being in the new hangar.
Leaders in many of today's organizations use the results of personality testing to make hiring and promotion decisions. Discuss some of the pros and cons of this approach.
You are working at a firm that operates discount department stores across the United States and Canada. Top management has decided to expand to one of the following markets: France, Germany, Japan, Mexico or the United Kingdom. From this list, which ..
You find out from billing that a growing number of processed claims are returning as denied. Upon further investigation, you find that the root cause seems to be the inconsistency of checking eligibility of patients. Goal – Develop a solution to redu..
Explain the strategic management process. How should the changing landscape of the financial sector in coming years affect the joint venture? Is there less incentive to keep the joint venture going? Formulate a strategy about what the next phase of t..
Thaarugo Inc produces a GPS device that is becoming popular in parts of Scandinavia. When Thaarugo produces one of these, a printed circuit board (PCB) is used and it is populated with several electronic components. Which of the two suppliers should ..
What do you believe is the operations strategy model developed by Crocs? How has this model evolved and changed as the company has grown
Compute the manufacturing cost per good product for each of the three years and indicate the annual percentage increase or decrease resulting from the quality-management program.
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