Concepts of Managed Care
Discussion Topic-
A typical health plan network consists of a variety of clinical professions. Many are physicians; however, there are non-physician specialties included within networks as well.
For this week’s discussion forum, delineate and explain the differences between primary care providers (PCPs) and specialty care physicians (SCPs).
How are hospital-based physicians (HBPs/Hospitalists) different from “typical” patient care healthcare professionals/providers (e.g. PCPs, RNs, LPNs, PAs, etc.)?
Last, why do you think some providers choose to not contract with certain or all payers/health insurance plans?
At least 250 words.
Chapter 3
Course Materials :Required Textbooks:Kongstvedt, P., Health Insurance and Managed Care: What They Are and How TheyWork, 5th. Edition. Sudbury, MA: Jones and Bartlett.ISBN- 978-1-284-15209-8 or EBook-ISBN-978-1-284-09487-9
