Buy making sense of managed care volume 1 building b by miller isbn 9780924674518 from amazons book store everyday low prices and free delivery on eligible orders. 1 introduction managed care has become the predominant structure for employer based and publicly funded health care benefit plans offered and administered by entities known as managed care organizations mcos managed care plans offer financial incentives for enrolled participants to use health care providers that contract with the mco characterized by such contractual arrangements between . Notice that managed care plan 1 receives a much lower price in return for sending a larger volume of patients managed care plan 2 mc2 wants to pay a lower cost per case and is willing to send 25. Current models of managed care 1 medicare special needs plans snps 2 duals integration pilots 3 managed ltss 4 accountable care organizations 5 medical home pilots 6 independence at home pilot house calls 7 bundled payment pilots
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