Explain who bears the financial risk-the provider the


• What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. C

? Summarize the history of when, how, and why managed care was developed.

? Define and discuss each type of managed care organization (MCO)-health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).

? Explain the positive and negative aspects, respectively, of managed care organization from the provider's point of view-a physician and a healthcare facility-and from a patient's point of view.

? Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk-the provider, the patient, or the managed care organization.

? Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.

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