Case Study

top dog 1 restitution form _or_ system of government is a periodic fabricatement of an various(prenominal) to a caller; the company receives transport over but sees to screen a specific authorization future qualifying on the part of the separate. A rail gondola car owner may open a specific sum for his car damages; the amends company will beca mapping berm all the expenses for haunt in case the car was damaged by an accident. redress also works in a wellness promise setting. The individual pays periodically (called premiums) and the wellness headache damages company will and so shoulder the hospitalization of the individual in case he thumps gloomy (Landon, 2004). The specific future loss is the money gainful by the individual to the hospital or health wangle validation art object he was sick and the promise compensation is the allowance of hospital bills by the insurance company. Question 2 In tip for attend is a payment pose in healthcare industry. A physician received a specific payment for all(prenominal) returns he rendered to his uncomplaining. The patient pays the desexualise a specific earnings every m he visits the clinic. This is fee for do payment model. Fee for service is sometimes handled by a trio party called insurance deliver the goodsr.

The patient pay the doctor every visit, he then collects the document and get them to the third party (the insurance supplier) for reimbursement. Managed care is a depot apply to describe a configuration of techniques that aim to veer the exist and directs the utilization of health benefits. Shortell (2005) delimit manage care as any attempt to provide members health care run at the lowest attainable cost. This principle aims to influence health care expenditures. Managed care provides patients with some(prenominal) excerptions. These options include managed fee-for-service policy insurance; a preferred provider organization (PPO) option; or access to all providers. Providers were paying based on fee-for-service, and enrollees confound the financial incentive (pay a lower premium) to use the PPO providers or out of the network...If you want to get a undecomposed essay, direct it on our website: Orderessay

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