Case study 30:

Case study 30: Copperline HealthcarePlease read the attached case study pdf. and the spreadsheet to help answer the questions. 1. What proportion of the expected $200 per member per month capitation payment from the Plan should be allocated to each component (i.e., hospital, primary care physicians, specialists, and other providers)? 2. Are risk pools necessary? If so, what risk pools or other incentives should be put in place to help control utilization? 3. What payment method should be used for each provider? Should all providers be capitated, should any be capitated, or should some combination of methods be used? 4. Should all of the PHO physicians participate in the contract, or should subpanels be formed? If subpanels are formed, how should they be constituted? 5. What other actions must the PHO undertake to successfully manage this full-risk contract? Please answer the questions entirely. Also there is an answer that is floating around and is also posted on this same question in coursehero that was answered using a teacher's guide. Please do not use that to answer this.

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