Mike7

Managed Care Payment Models

Managed care organizations frequently pay their physicians according to some form of performance or risk-based reimbursement system. The objective of any reimbursement system is to better align the compensation of physicians with the overall goals of managed care. Although there are a few basic ways of reimbursing physicians and other healthcare professionals, there are countless variations on the themes and numerous combinations.

Using your textbook, the online library resources, and the Internet, research alternative payment methods used by managed care organizations. Compare the payment methods from the points of view of patients and providers.

• • Identify four different methods for reimbursing physicians.

• How will each of these methods of paying physicians influence the volume of services provided?

Write your response to each question in 1 to 2 paragraphs.