Health Maintenance Organizations

Risk-Based Reimbursement

For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations (HMOs) via capitation, fee-for-service, relative value scale, or salary. Capitation is considered as a risk based compensation.

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In an effort to understand the intricacies involved with physician reimbursement, particularly in an era of health care reform, identify and interview an expert in the field, such as:

Hospital Administrator
Managed Care Organization (MCO) executive
Health care Consultant
Legal Professional
Assumption: MCOs use risk-based reimbursement for primary care physicians.

Ask the following questions in the interview:For more information on Health Maintenance Organizations read :https://en.wikipedia.org/wiki/Category:Health_maintenance_organizations

Health Maintenance Organizations

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