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

Q. 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:

Cost-based

Charge-base (including discounted charges)

Per procedure

Per diagnoses

Per diem

Global pricing

Capitation

Class HA520 Healthcare Financing

Using Healthcare Financing, 6th ed. Louis C Gapenski

Thank you

Andria