Question: Refer to Chapter 4: Managed Care. Start a discussion post in which you answer the following questions. Keep in mind you should provide discussion-type answers,
Refer to Chapter 4: Managed Care. Start a discussion post in which you answer the following questions. Keep in mind you should provide discussion-type answers, with complete sentences.
- Why would the discounted charges reimbursement mechanism seem attractive to both the physician and the MCO?
- Why would an MCO want to reimburse hospitals by a DRG payment?
- An HMO with 50,000 members had 13,024 inpatient service days for the last month. What formula would you use to determine bed days per 1,000, and what was this HMOs rate for last month?
- Why is it crucial for an MCO to conduct utilization management activities?
- What are the benefits of an EHR to an MCO, a physician practice, and its patients?
- How will ACO models potentially impact MCOs in the future?
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