In a recent contract negotiation session between a group of physicians and a managed care health plan, the parties disagreed about the level of reimbursement that the physicians would receive for treating subscribers. The physician group is the largest such organization in the community and represents 75 percent of all primary care providers in the area. What sources of power does this group wield in negotiating a managed care contract?
In a recent contract negotiation session between a group of physicians and a managed care health plan, the parties disagreed about the level of reimbursement that the physicians would receive for treating subscribers. The physician group is the largest such organization in the community and represents 75 percent of all primary care providers in the area. What sources of power does this group wield in negotiating a managed care contract?
Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter16: Tricare
Section: Chapter Questions
Problem 4R
Related questions
Question
-
In a recent contract negotiation session between a group of physicians and a managed care health plan, the parties disagreed about the level of reimbursement that the physicians would receive for treating subscribers. The physician group is the largest such organization in the community and represents 75 percent of all primary care providers in the area. What sources of power does this group wield in negotiating a managed care contract?
Please answer each question in full and through answer
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution!
Trending now
This is a popular solution!
Step by step
Solved in 2 steps
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Recommended textbooks for you
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
Case Studies In Health Information Management
Biology
ISBN:
9781337676908
Author:
SCHNERING
Publisher:
Cengage
Essentials Health Info Management Principles/Prac…
Health & Nutrition
ISBN:
9780357191651
Author:
Bowie
Publisher:
Cengage