« previous next »

Author Question: Why are managed care organizations (MCOs) evaluating and grading network physicians on the services ... (Read 93 times)

stock

  • Hero Member
  • *****
  • Posts: 573
on: Jun 27, 2018
Why are managed care organizations (MCOs) evaluating and grading network physicians on the services they provide?
 
  What will be an ideal response?

Question 2

Explain how corporate business values are transforming healthcare delivery.
 
  What will be an ideal response?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


elyse44

  • Sr. Member
  • ****
  • Posts: 319
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: MCOs want their policyholders to be satisfied with the care they are receiving from physicians within the network. With criticism of managed care, MCOs want to be able to communicate positive outcomes.

Answer to Question 2

Answer: Because of rising costs, business values such as efficiency, cost-reduction, inventory management, competition, and profit are influencing healthcare delivery.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Single atoms form the nodes of an elementary quantum network Single atoms form the nodes of an elementary quantum network
The nurse cares for the postop client in the postanesthesia care unit (PACU). The nurse cares for the postop client in the postanesthesia care unit (PACU).
Nursing care plan anxiety Nursing care plan anxiety
Building competency in patient centered care Building competency in patient centered care
Continuum of care for children and adolescents. Continuum of care for children and adolescents.
Take care Take care
Video: Glomerubular filtrate rate -pressures that affect GFR and net filtration pressure

For a complete list of videos, visit our video library