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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.
You have been asked to develop a rewards program for the MNC that you work for-specifically for the new subsidiaries that they are opening in Japan, France, and the United States.
Define the standards and parameters that health care professionals must have in order to work within their scope of practice. Describe the responsibility health care professionals must have in order to work within their scope of practice. Explain th..
Trucking companies no longer merely carry goods from one place to another. Some also provide supply chain management services to their customers and help them manage their information. In this project you’ll use the Web to research and evaluate two o..
Assume NASA is concerned about the reliability level of a new untested system for use on Mars. Based on past experience they believe there is a 75% chance that the system's reliability is Rl = 0.9, a 15% chance it is R2 = 0.75 and a 10% chance it is ..
You were hired as an analyst to develop a new information system to automate the payroll transactions in a mid-size organization. The proposed system will contain employees’ data and interface with the organization’s General Ledger system (GL). Creat..
Assume you were joining a company as a new employee. What steps would you take to determine the source of power within the organization? Of French and Raven's five forms of power, which do you consider the most important source of power and why?
Compare the acquisition (price), procurement, supply chain before and after fracking begin in earnest in the USA. Is it good, bad, or has no impact of the supply & price of oil and natural gas in the USA & world. What would you do if you were preside..
Describe your insights as a result of the material reviewed in this module related to everyday encounters with research. What types of research findings do you see every day? What has been the impact of the time you have spent studying the idea that ..
Like other large airlines, Global Airlines has a points-based incentive program. Customers who who join Global's FreeMiles program earn points by purchasing tickets from Global or by using their member number.
How many bags per run are optimal and what would the average inventory be for this lot size?
Research, explain, and discuss the concept of Pay-for-Performance and its expansion via the Affordable Care Act through Value-Based-Purchasing including the expected impact on patient outcomes and finances of health care organizations.
Read “Leading Through Share Values” and “The Role of Values in Servant Leadership.” What role do the values of leaders play in organizational culture?
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