This week you read about the different types of managed care plans and the cost controls that they utilize. Managed Care Organizations (MCOs) attempt to provide the quality healthcare that their members need in a cost-effective manner. Ultimately, managed care is about achieving that balance between cost and access to quality care. A strong understanding of the complexities of managed care models and the entities that oversee them is necessary for the healthcare administrator who handles managed care contracts and navigates those cost controls.
Harrington, K. (2016). Health care finance and the mechanics of insurance and reimbursement. Burlington, MA: Jones & Bartlett Learning.
Tu, T. et al. (2015, May). The Impact of Accountable Care: Origins and Future Accountable Care Organizations. Leavitt Partners and Brookings Insitute. https://www.brookings.edu/wp-content/uploads/2016/06/Impact-of-Accountable-CareOrigins-052015.pdf
Analyze the situation. What do you think of the recommendations presented in the report? How feasible do you think the recommendations are? What additional recommendations would you offer beyond those listed in the report?The final analysis should be a two- to three-page document (in APA format) analyzing the issue and offering recommendations to improve processes that will contribute to the financial health of the organization.
Introduction and Background
I am providing you with 4 docs.
Classmate 1 ( pick up 1 part)
classmate 2 ( please utilze classmate response as he provided an excellent introduction and recommendations)
manage care Pick 1 part)
and example of how the paper supposed to look like, please follow this docs as a template.
Please only use the reference listed on this.