Assignment: Physician Reimbursement
The paper should be 2 to 3 pages in length.
The assignment assesses competency 11. Identify the different methods of provider compensation within managed care.
Directions: With the increasing cost of health care, MCOs have been under tremendous pressure to control health care costs, including physician reimbursement. In this assignment, you are to look at some of the issues that are involved in physician reimbursement.
Your assignment is to write a 2 to 3 page paper that addresses the following:
- What are the different methods that MCOs reimburse providers for health care services?
- How does reimbursement for these services vary based on the type of MCO models (Group, Staff, IPA, PPO...)
- In which situations would member/patients pay the MCO directly?
- How do you think reimbursement impacts how care is delivered to the patient?
- Is this good or bad? Provide examples,
- Cite your resources.