2.1 Briefly explain the following characteristics of insurance: a. Pooling

 

2.1 Briefly explain the following characteristics of insurance: 

a. Pooling of losses 

b. Payment only for random losses 

c. Risk transfer 

d. Indemnification

2.5 a. What are the primary characteristics of managed care plans? 

b. Describe different types of managed care plans.

2.7 Describe the provider incentives under each of the following reimbursement methods: 

a. Cost based 

b. Charge based (including discounted charges) 

c. Per procedure 

d. Per diagnosis 

e. Per diem 

f. Bundled payment 

g. Capitation

2.10 What are some features of the ACA that affect healthcare insurance and reimbursement?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Tatiana Public health nurses play a significant role in the

  Tatiana Public health nurses play a significant role in the prevention of disease and help promote community health safety. Public health nurses have many responsibilities. For example, they assess trends to identify health risk factors, assign priorities for health-related interventions to enhance positive outcomes, design and implement health education

This is a two-part assignment. A rough draft will be

This is a two-part assignment.  A rough draft will be in M10 – Due! and the final version will be submitted to M12 – Due! First you will develop a single-page resume for yourself and submit in M10 – Due! by the date shown in the course outline.  This first copy will

Case Study Analysis: The Battle of Blue Earth County

INTRODUCTION o Develop and discuss a chronology of key events in this case. o Identify the primary actors and describe their roles in the case. o Identify the important problems in the case in one or two clear and precise sentences. (One way to identify a problem is to identify

1. Read the HBR chapter, “How Resilience Works.” Review, Harvard

1. Read the HBR chapter, “How Resilience Works.” Review, Harvard Business, Kolb, D. M., Cross, R., Badaracco, J. L., & Roberts, L. M. (2021, March 30). HBR’s 10 Must Reads on Managing Yourself, Vol. 2 (with bonus article “Be Your Own Best Advocate” by Deborah M. Kolb) (1st ed.). Harvard

10 slides Your company recently went through a global merger

 10 slides  Your company recently went through a global merger or acquisition in which at least one of the parties involved was from one of the following countries (Saudi Arabia, Egypt, or Cuba). You need to create a PowerPoint presentation that you will present to the Board to describe the

Workplace violence happens. The National Institute of Occupational Safety and

Workplace violence happens. The National Institute of Occupational Safety and Health estimates that, on average, 20 workers are murdered and about 18,000 are assaulted in the workplace each week in the United States.  Workplace violence includes actual or threatened physical or verbal abuse of another person or property. Employees, as

1. Two Summaries Read “Medon Meets a Cyclops” and “Epic

1. Two Summaries Read “Medon Meets a Cyclops” and “Epic Ways of Killing a Woman,” then write a summary of that article, no more than ½ page in length, which explains the article’s main claim and the arguments it uses to support that claim.  2. One poem Write 20-40 lines

Why is it that some organizations do not place enough

Premium Paper Help is a professional writing service that provides original papers. Our products include academic papers of varying complexity and other personalized services, along with research materials for assistance purposes only. All the materials from our website should be used with proper references.

Describe the importance of a universal standard measuring system (SI

 Describe the importance of a universal standard measuring system (SI units) in scientific work. Include at least two examples of real-life situations in which the use (or non-use) of SI units affected the outcome of the situation. In many countries, SI units are standard, but this is not true in

MGMT 3106 UA GRANTHAM Health Care Research Paper Nursing Assignment Help

Expert Solution Preview Introduction: As a medical professor responsible for creating college assignments and evaluating medical college students, my role is to design and conduct lectures, assess student performance, and provide feedback through examinations and assignments. This ensures that students are acquiring the necessary knowledge and skills required in the

Summarize the key concepts of each ethical theory discussed in

  Summarize the key concepts of each ethical theory discussed in the course.  Defend which theory/theories you feel is the most useful/needed in our contemporary world. Use specific examples and explanation.  Instructions:   Your initial post (approximately 200-250 words) should address each question in the discussion directions and is due by

Due Thursday The Founders expected and were guided by the

  Due Thursday  The Founders expected and were guided by the conviction that Americans would take responsibility for citizenship and be active in their government and communities. This would be demonstrated through voting in elections, lawful protesting, petitioning legislators, and running for elective federal office. Respond to the following in

15 to 20-sentence. Movie: West Side Story (1961). Not the new version!!! Focus:    – Instrument: Identify the primary instrument(s) featured in the

15 to 20-sentence. Movie: West Side Story (1961). Not the new version!!! Focus:    – Instrument: Identify the primary instrument(s) featured in the concert.    – Era: Determine the historical era or period the music represents.    – Genre: Categorize the music into a specific genre (e.g., baroque, classical, jazz, pop, rock).    –

Assignment 1 This a research project and on this week,

Assignment 1 This a research project and on this week, Choose any one topic and should stick to the same topic for coming weeks. Write a short paragraph (250 words) describing your project and how you intend to research it. · Cloud Computing · Computer Forensics · Data Center Security

Addison diseases study case

Description Caso estudio # 1 lab Addison’s Disease Case Studies This 32-year-old white professional female was noted to have increasing melanosis affecting her skin and gums. She noted that she had become weaker over the past several weeks. She complained of nausea, occasional vomiting, and anorexia. She experienced a 10-pound