You?are?a?new?physician?setting?up?your?own?practice?in?a?new?town.?You?are?researching?the?different?MCOs offered?in?your?area?and?are?considering?becoming?a?physician?for?one?of?these?networks.?You?have?also?invited the?sales?representatives?of?several?health?plans?to?speak?with?you?about?the?benefits?of?choosing?their?plans. Based?on?the?above?scenario,?answer?the?following?questions: What?effects?would?joining?a?MCO?have?on?your?clinic?regarding?staffing,?patient?volume,?and?financial stability? What?policies?and?procedures?should?be?used?by?the?MCOs?to?reduce?costs?for?their?clientele? Discuss?the?ethical?issues?or?concerns?about?MCOs?providing?a?lower?quality?of?care?compared?to?traditional?feefor?service (FFS)?organizations? What?are?some?of?the?questions?you?would?ask?each?representative?about?his?or?her?company’s?specific?plan?that will?help?you?make?a?decision? Do?you?believe?that?the?evolution?of?MCOs?and?consumer?driven?health?plans?(CDHPs)?has?affected?the healthcare?environment?today?by?integrating?the?financing?and?delivery?of?healthcare?services??If?yes,?how? How?have?the?roles?and?relationships?between?physicians?and?patients?changed?by?each?of?these?types?of?plans? Reading?For?Assignment Cost?Containment?in?Managed?Care Payment?systems?based?on?resource?use?have?been?designed?and?implemented?for?other?providers?of?care.?One example?is?the?resource?utilization?groups?(RUGs),?which?is?a?classification?system?for?nursing?home?residents…
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