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

  Process of issuing debt and buying back shares

If there are no costs of financial distress to worry about or transactions costs incurred in the process of issuing debt and buying back shares, what should be the price per share of the remaining shares once you are done with the buyback?

  What is the reorder point equal to

Given that unit cost = $25, annual carrying charge = 10%, annual demand = 4000 units and ordering cost = $15 per order. Assume that there are 50 weeks in the work year and 5 working days per week. The lead-time for the product is 2 weeks.

  Describe the factor-weighting technique

Describe the factor-weighting technique that can be used to simultaneously consider multiple supplier criteria.

  The development of m-commerce

What are the business forces that are driving the transition from traditional education to online learning. Briefly describe Web 2.0. How does it differ from the traditional Web

  In which countries does the corporation produce products

In which countries does the corporation produce products and in which does it sell products? In which country does this corporation pay taxes? To which country do its profits flow?

  There are a lot of ways to control an organization one is

there are a lot of ways to control an organization. one is through structure rules policies and procedures. another is

  Merge with continuum from strategic perspective

From the book "Strategic Management of Health Care Organizations, 6th or 7th Ed, Swayne, Duncan, Ginter (Jossey Bass) read Chapter 6, consider the growth strategy - mergers and acquisitions. summarize the article and explaining why the two systems wa..

  Determine the total number of trips

Determine the total number of trips that the vehicle has to make, assuming the vehicle capacity is one unit load.

  Healthcare management has become increasingly challenging

Healthcare management has become increasingly challenging and complex in the 21st century. How do leadership strategies differ in healthcare organizations as compared to other types of organizations? What are the characteristics of healthcare organiz..

  Discuss differences in pricing strategies for your product

Describe a situation that would require you to adapt the price of your product or service (a low calorie sugar free soft drink). Provide specific examples to support your response. Discuss differences in pricing strategies for your product or service..

  What is the maximum that the cost of capital

A mining company will spend $28 million in order to exploit a low-grade placer deposit of gold ore. They estimate the deposit will produce profits of $6 million per year for six years. They calculate the net present value (NPV) using an estimated cos..

  Best Practices for Choosing and Using a 3PL

Describe the 6 steps involved in establishing and managing 3PL relationships. Which step(s) do you feel is (are) most crucial? Which step(s) do you feel is (are) least crucial? Support your position with examples drawn from your own relationships (as..

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