Thursday, October 17, 2019

Managed care Essay Example | Topics and Well Written Essays - 250 words - 2

Managed care - Essay Example Thus, this dilemma in expenditure planning further affects the rate settings of managed care mechanism based on the probabilistic premium rate. With effective control of administrative costs and other related expenses, the Medicaid agencies faced severe forms of difficulties related to accrue payments and other relevant needs (Anderson & Fox, 1987). Furthermore, the biased or improper selection of payment services was noted to be affecting the overall process of rate settings. Notably, this sort of plan is likely to attract different set of people undergoing through distinct health conditions. Thus, to increase the transparency of the rate setting system, the Medicaid agencies should develop a plan of incorporating healthier enrollees for Medicaid programs. With the view of developing a biased plan, the Medicaid organizations should remain indulged in formulating effective individual programs within the domain of care giving. Thus, it could be stated that rate setting for a program is one of the major issues faced by the Medicaid organizations in enhancing the ability of the programs to meet the diverse needs of the enrollees (Anderson & Fox,

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