What is a withhold feature for payment to health care
providers?
What promotes the growth of Integrated...
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What is a withhold feature for payment to health careproviders?
What promotes the growth of Integrated Delivery Systems?
Why are capitation plans more common for physicianpayments?
The James Clinic is an organization of 100 physicians in avariety of specialties. They recently contracted with PrudentialHealth Plan on a capitated basis to provide all medical services toPrudential's members for the next three years. What would this HMOmodel be defined as?
What provision would a medical group include in its contractwith an HMO to receive larger PMPM payments if the HMO members arechronically ill?
You are trying to establish a PMPM rate for Primary CarePhysicians. Actuarial estimates project 2,500 visits per 1,000members per year. You have contracted with a Primary Care Medicalgroup at $45.00 per visit with a $5.00 copayment that you willreceive. What PMPM rate should you set?
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PLEASE LIKE THIS ANSWER IT HELPS ME A LOT THANK YOU What is a withhold feature for payment to health care providers Provides a mechanism for reducing risk to the payer What promotes the growth of Integrated Delivery Systems Cutting out the middleman many hospitals
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