Acute Care Hospital Make Profits from a New Managed Care Plan
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The administrator of a small, acute-care hospital is faced with his first managed care contract. He meets with representatives from the prepaid plan to discuss the amount to be paid to the hospital. The administrator is concerned because the managed care business does not look profitable-the hospital will be reimbursed below its current reimbursement levels. In what ways might the administrator evaluate this new managed care business in terms of its economic value to his institution?
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Solution Summary
An explanation of managed care and how it can actually be profitable or at least economically feasible for a small, acute treatment hospital is provided.
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It (the plan) would be valued different ways. One would be there needs to be taken into consideration is that even though it might be at less reimbursement rate, these managed health care plans often have one go through, their primary care or internist first (the doctor may also be a generalist). Also, this gatekeeper "doctor" may even be a Physician's Assistant or even a ...
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