Question: read the case study and answer the following questions? 1.what are the facts in this case? 2. what suggestions can you make to resolve the
You are the assistant clinical manager in a regional health plan in Houston, Texas. Your Chief Clinical Director (CCD) asked you to investigate how your health plan providers compare to other providers in the state in relation to costs. The Chief Executive Officer (CEO) is the eventual audience of this information so that they can decide where care coordination efforts should be focused during the next fiscal year. The CCD was a bit excited that the CEO didn't give a specific direction and said they heard rumors of publicly available datasets of surveys that will help to showcase key provider ratings on various specific areas. They asked that you prepare some numbers to reflect how the general practitioners and select specialists (of your choice) compare to others in the state and provide specific information on clinical outcomes that relate to communication with providers. In addition, they requested you make some recommendations based on your findings and anticipate challenges the organization will encounter for each one as they embark on new care coordination efforts
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