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Factors affecting profitability in healthcare

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1. Healthcare is a business, and provider organizations must be profitable to stay in business. However, consumers/patients (the general public) believe otherwise. What is the role of case managers in ensuring the profitability of their organizations?

2. Physicians need some freedom from HMO control in delivering care to patients. On the other hand, some physicians may try to abuse the freedom for their own financial gains. How can policy-makers and other stakeholders resolve this dilemma?

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This solution looks at the role of case managers in ensuring profitability of their associated healthcare organizations, as well as how to manage HMO control in providing physician care to patients.

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1. Healthcare is a business, and provider organizations must be profitable to stay in business. However, consumers/patients (the general public) believe otherwise. What is the role of case managers in ensuring the profitability of their organizations?

Case managers in the hospital setting have a very important role in managing the coordination of patients. Along with moving the patient along the healthcare system while they are the hospital or actively receiving care, they also coordinate ...

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