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Compare the primary available economic resources that health insurance payers may use to monitor, assess, and regulate health care providers’ behavior.

Compare the primary available economic
resources that health insurance payers may use to monitor, assess,
and regulate health care providers’ behavior.

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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