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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/expansive access... There are costs associated with each of these options, whether a higher or lower cost. If you are working for an employer in making the health care purchasing decisions:
What options do employers have for compensating providers?
What role does reinsurance play in provider reimbursement?
What limitations exist (e.g., state or federal laws)?
Provide examples to support your ideas.
Respond to two other students. Please cite references in your post which should be 150-200 words.
Stuxnet was one of a family of software viruses launched by the United States and Israel in 2010 against Iranian nuclear centrifuges and other industrial facilities that are used to concentrate nuclear fuel to nuclear fuel to nuclear bomb-grade quali..
A new aircraft control system is being designed that must be 97.5% reliable. This system consists of four components in series.
Theories of justice often comprise three categories: Retribution (Deserts Theory), Utilitarianism (Results Theory), and Restitution (Compensation Theory). In a three-page analysis on theories of justice, you need to: Compare and contrast each of the ..
List and describe the seven guidelines for good delegation. List and define five potential benefits of delegation.
For this week's discussion, please review Poor Performance & Due Process by T.L. Stanley. You can access this article via Warner University Library's EbscoHost database: Please provide your thoughts on Stanley's article, while applying what you have ..
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Recognize the behavior attributes of those who become entrepreneurs. Identify characteristics of entrepreneurs who recognize and seize business opportunities and new ventures
Create a source selection matrix and use it to select the optimal supplier. Address each of the following: Identify a real or hypothetical project (like a project to resurface the parking lot of an apartment complex) for which a product or service..
You will create an entire Transformational Change Management Plan for a medium-sized public company that has lost business to a competitor that has chosen to outsource much of its production operations. The company has been based in a small Midwes..
Our company may devise various solutions to a customer's requirements. You may internally debate which solution addresses the customers requirements the best. How should you weigh your own evaluation of the customer's requirements with the customers?
Create a decision table that illustrates explain how Willow brook School determines which discounts, if any, are to be applied to fixed fees for a child.
What is the role and benefit of technology in Supply Chain Management. Also discuss the process for E-Procurement. What is the distinction between forecasting and Planning.
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