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Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc

Management

Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc.) and describe provider incentives and risks under each of the following reimbursement methods:

  1. Cost-based
  2. Charge-base (including discounted charges)
  3. Per procedure
  4. Per diagnoses
  5. Per diem
  6. Global pricing
  7. Capitation

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