Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc.

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Q. Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc.) and describe provider incentives and risks under each of the following reimbursement methods:

Cost-based

Charge-base (including discounted charges)

Per procedure

Per diagnoses

Per diem

Global pricing

Capitation

Class HA520 Healthcare Financing

Using Healthcare Financing, 6th ed. Louis C Gapenski

Thank you

Andria

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