Although MCOs are responsible
for contracting with providers to deliver services to their
members, MCOs have various...
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General Management
Although MCOs are responsiblefor contracting with providers to deliver services to theirmembers, MCOs have various networks they offer to their employergroup customers to achieve different goals, like local/nationalnetworks, cost control, limited/expansive access... There are costsassociated with each of these options, whether a higher or lowercost. If you are working for an employer in making the health carepurchasing decisions:
What options do employers have forcompensating providers?
What role does reinsurance play inprovider reimbursement?
What limitations exist (e.g., state orfederal laws)?
Provide examples to support yourideas.
Answer & Explanation
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1 An employer can compensate providers through fixed compensation stock options or daily compensation Having options favors employers because it allows more than one method of compensation
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