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.

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?

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