How to apply managed care and contract law concepts

Assignment Help Other Subject
Reference no: EM13197176

Blue Cross/Blue Shield of Transylvania (BCBST) has presented a managed care contract to Jones Medical Group (Jones) containing a most favored nations clause. Specifically, the clause requires that Jones not to "charge fees to BCBST higher than the fees Jones accepts from any other non-governmental group, group plan or panel." These clauses are enforceable in some states and unenforceable in others. Discuss the pros and cons of enforceability applying the knowledge you have obtained from the course. Specifically apply managed care and contract law concepts and principles to the fact pattern."

Reference no: EM13197176

Questions Cloud

Why americans are so individualistic despite an interconnect : Using information from the Johnson article, explain why Americans are so individualistic despite an interconnected word How do you think individualism initially became one of America's core values
Compute the concentration of all soluble hg : calculate the concentration of all soluble Hg(II) species. Which Hg(II) species is most prevalent? Assume there are no solids present, that the major ligands present are Cl- and OH-
What is the velocity of the ball : What is the velocity of the ball when it is 96 ft above the ground on its way up?
Evaluate net present value and internal rate of return : The President has requested that you and your staff analyze the feasibility of acquiring this supplier. Based on the following information, calculate net present value (NPV), internal rate of return (IRR), and payback for the investment opportunit..
How to apply managed care and contract law concepts : Blue Cross/Blue Shield of Transylvania (BCBST) has presented a managed care contract to Jones Medical Group (Jones) containing a most favored nations clause. Specifically, the clause requires that Jones not to "charge fees to BCBST higher than the..
Find the distance the tip of the needle travels : The needle of the scale in the bulk food section of a supermarket is 21 cm. long. Find the distance the tip of the needle travels when it rotates 146 degrees.
State propanoyl chloride and p-methoxynitrobenzene : Draw the product of the following reaction between propanoyl chloride and p-methoxynitrobenzene. Include all formal charges.
Capital budgeting decisions - investment opportunity : What information will you and your staff need to analyze this investment opportunity and how will you go about making the decision
Find the direction and speed of the wind : An airplane is flying in the direction 148 degrees with an airspeed of 860 km/h. Because of the wind, its groundspeed and direction are, respectively, 800 km/h and 140 degrees. Find the direction and speed of the wind.

Reviews

Write a Review

Other Subject Questions & Answers

  Explaining the real estate law

The basics of real estate law...fundamental difference between the attorney-client privilege and the concept of confidentiality. What is the difference between the two in the real estate law context?

  Risk assessment and duty to warn

I'm learning about risk assessment and duty to warn. My understanding about Risk assessment includes both assessment of harm to self

  Analyzing budget variance by computing each revenue variance

What is the budget variance for the week? Analyze the budget variance by calculating each revenue variance.

  Privacy in the workplace

In regards to an employee handbook privacy section, how could an employee's privacy protections enhance his or her's motivation and productivity on the job?

  Case-control studies and cohort studies

How are randomized clinical trials categorized relative to case-control studies and cohort studies?

  What physical process at work in the sun

Granulation, or the mottled appearance of the whole solar surface, is an indication of what physical process at work in the sun?

  Discriminating against hispanic people

If an I/O psychologist is employed by a company that appears to be discriminating against Hispanic people, is it ethical for her to stay with the company? What ethical obligations does she have?

  Explain how you could use classical and operant conditioning

Explain how you could use classical and operant conditioning to help you have a better life. Be specific in your examples!

  Advantages of using the histology techniques

Determine the relative advantages of using the histology methods as compared to neuro-imaging techniques?

  Islamic philosophy concerning health

What is the Islamic philosophy concerning health and well-being? What should a healthcare professional know about a Muslim's view of death?

  Rocket at speed close to speed of light

If you stay on earth while a friend races off in a rocket at a speed close to the speed of light, then according to special relativity you will see a clock on the rocket appear to click more slowly than the one on your wall.

  Changes in racial equality and diversity

Have you seen changes in racial equality and diversity in the past 5 to 10 years? If so, what was the motivating factor behind these changes? If not, why do you think things haven’t changed?

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