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how does managed care work

How does managed care work?

What is managed care contracting?

Managed care contracting are contracts which attempt to restrain healthcare costs by controlling both the quality and the type of services provided. The level of service and cost are both considered with managed care contracting. There are three basic types of managed care health insurance plans: (1) HMOs, (2) POS plans, and (3) PPOs.

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what is payment model

What is payment model?

What is payment model?

A payment model is a methodology developed by payers for health care services. Currently in 2018 the payers are moving away from FFS (fee for service) volume driven services to instead a value driven model. This transformation includes an incentive for providers on cost, outcomes as well as quality.

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