Question: Discussion Topics:
Instructions: I help with responding to the following discussion topic with probe questions.
- I need the initial response to be around 80 words with a probe question
- I need 3 additional responses to be around 40 words with probe questions
- A total 4 response per topic!
Topic: Medical Contract
- What are some of the details that should be written in the contract between the doctor or medical facility and the insurance company? Why should these details be included?
Topic: Reimbursement Models
- Insurance companies use different physician reimbursement models and even different formulas for determining their payment schedule. Compare one method with your classmates and why you feel one may be preferred over another. Do you feel this has an impact on the quality of care received by patients? How does Fee-for-Service style reimbursement work?
Topic: Managed Care Organizations
- Managed care organizations may have a coinsurance or a copayment as part of their cost sharing plans. In your initial post, please describe each. In addition, discuss how deductibles affect cost sharing from the perspective of the patient. (Hint: Compare to the concept of deductibles to that of other insurance plans, such as automobile).
Topic: Managed Care Advantages and Disadvantages
- What are the advantages and disadvantages of different managed care models?