Question: Broadly defined, managed care plans reimburse providers a fixed (capitated) fee per patient, reducing the marginal incentive to provide services. As opposed to fee-for-service plans,
Broadly defined, managed care plans reimburse providers a fixed (capitated) fee per patient, reducing the marginal incentive to provide services. As opposed to fee-for-service plans, in which each service is reimbursed, managed care removes incentives for overutilization.
Investigate the evidence for managed care plans reducing expenditures.
Why might a simple comparison of expenditures between fee-for-service and managed care plans be misleading? You may draw evidence from the private insurance industry of Medicare Advantage (relative to traditional Medicare) or both.
Step by Step Solution
There are 3 Steps involved in it
Get step-by-step solutions from verified subject matter experts
