HSM546 Provider Networks Course Discussions

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HSM546 Provider Networks Course Discussions
Explain contracting approaches for physicians and hospitals under managed care plans…

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HSM546 Provider Networks Course Discussions

HSM546 Provider Networks Course Discussions

Week 3 All Students Posts – 44 Pages

In your own words, explain contracting approaches for physicians and hospitals under managed care plans.  This week we discuss TCO C and for our first main question we look at provider networks. Ever heard of “narrow network”? What is this?  The main question this week talks about contracts and the text poses the question of why contract? So, now please consider – you are the business manager for a large medical group and it is time to renegotiate the contract with an HMO. What details would you want to look at more closely this time?  Contracts of adhesion. What is this and how might the business manager avoid such a contract?…