What should ABC Insurance Company do?Why? How?
What should Verde Greene Hospital Do? Why?
what should the employers do? Why? How?
What should the patients do? why? how?
ABC Insurance Company has been quite successfulin selling its managed care insurance program to employers
Verde Greene Hospital has a excellent reputation for quality in maternal casre, cardiac rehab.ABC Insurance Company approaches Verde Greene Hospital to recruit it as a participating provider in the manage care plan.There is one contractual stipulation that Verde Greene Hospital needs prior to signing any contracts and becoming a participating provider.Verde Greene Hospital wants to be exclusive provider of maternity and cardiac care for all patients in the ABC Insurance Company network and no exclusivity, means no deal.Anticipated Problems: 1.Patients who need cardiac care or maternity care has to drive 50 miles and pass 4 or 5 good hospitals in the plan in order to see the care they need at Verde Greene Hospital,2. A number of obstetricians, gynecologist and cardiologists do not have privileges at Verde Greene Hospital and has threatened to disenroll from the plan if Verde Greene Hospital is the only Hospital contracted to see patients. 3. The existing staff physicians at Verde Greene Hospital objected to the loss of available space and time