Managed care is a system of health care delivery that aims to provide a generalized structure
Managed care is a system of health care delivery that aims to provide a generalized structure and focus when managing the use, access, cost, quality, and effectiveness of health care services. There are various ways in which the managed care organization reimburses hospitals for their services. Examples of Managed Care Reimbursement Methods include the following:
Percent-of-charge payment
Per diem payment
Case rate payment (DRGs and MS-DRGs)
Ambulatory Patient Grouper (APG)
Ambulatory Payment Classification (APCs)
Other types of reimbursement (carve-out, stop-loss, and withhold pools)
Instructions
Create a Venn Diagram (with a minimum of 4 points) to compare and contrast two of the Managed Care Reimbursement methods listed above.
Review the video “How to Create a Venn Diagram in Word and PowerPoint” in Supplemental Resources prior to completing this part of the assessment.
Summarize your findings in a one-page paper. In your summary, explain how each method is different and provide an example of when it is appropriate for an organization to use each method.
Submit both parts of this assessment in the same document.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Microsoft. (2019). Create a Venn diagram. Retrieved from https://support.office.com/en-us/article/Create-a-Venn-diagram-d746a2ce-ed61-47a7-93fe-7c101940839d
How to Create a Venn Diagram in Word and PowerPoint
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