Health Economics Discussion
Health Economics Discussion question
"Capitation, Payers, and Provider Behavior" Please respond to the following:
Suggest at least one (1) method by which capitation rates
are set for health maintenance organizations in Medicare. Provide one (1)
example of an HMO with these types of set rates in order to support your
response.
Compare the primary available economic resources that health
insurance payers may use to monitor, assess, and regulate health care
providers’ behavior. Evaluate the degree to which alternative provider payment
methods (e.g., capitation, pay for performance, etc.) impact HMO economic and
business performance. Provide one (1) example of such a type of method to
support your response.
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