Part 1-350 words read Chapters 1 and 2 of the course text. For your initial post, address the following in the discussion forum:
- Select a managed care plan such as an HMO, PPO, POS, or EPO and discuss its advantages and disadvantages.
- Explain the main features of a consumer-directed health plan (CDHP).
- Examine one real-life example of a CDHP plan (e.g., Cigna 1500) and another for the selected managed care plan (e.g., Aetna Open Choice PPO) in terms of covered benefits, choice of providers, and level of cost sharing and then determine which one would be the optimal choice for your family.
Part 2 300 words , read Chapter 3 of the course text as well as the required document, The Final Rule for the Medicare Shared Savings Program. For your initial post, address the following
- Describe the roles, functions, and liabilities of the board in a managed care organization.
- Assess the main differences regarding Governance as well as Leadership and Management Structure between the Medicare Shared Savings Program and a managed care organization.
REFERENCE: Kongstvedt, P. R. (2012). Essentials of managed health care. Jones & Bartlett Publishers.