1. Solutions To Counter Adverse Selection In Managed Health Care
In the last two decades, employers started to vary how health care is provided under the policies they offer: instead of using a system called cost-based reimbursement ( or fee-for-service ), a capitation-based reimbursement was applied. ... a) Background: Fiscal pressures to reduce health care costs have caused most US states to contract with health maintenance organizations (HMOs) to provide a portion of health care to Medicaid recipients on a capitated basis. ... When patients covered by AFDC or Medicaid may voluntarily choose to apply for enrollment in an HMO (capitated health plans...
- Word Count: 4357
- Approx Pages: 17
- Has Bibliography
- Grade Level: Undergraduate