Hcr 230 Complete Class

HCR 230 Complete Class



HCR 230 Claims Preparation II Footing the Bills Version 2

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HCR 230 Week 1 CheckPoint Comparing Cost Control Strategies



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Read Appendix A.
Resource: Ch. 9 (pp. 287–291) of Medical Insurance
Post a 200- to 300-word response to the following: Compare cost control strategies of employer-sponsored health plans, in which employers buy from insurance companies, to self-funded health plans, in which employers cover costs of benefits. Include the following factors:
 
·         Riders
·         Enrollment periods
·         Provider networks
·         Third party administrators
 
Discuss how the following affect cost control within group health plans:
·         Portability
Creditable coverage




HCR 230 Week 1 CheckPoint Ramifications of Participation Contracts



Resource: pp. 304–305 in Ch. 9 of Medical Insurance
Discuss how participation contracts represent financial opportunities for providers. What are positive and negative ramifications of discounted fee-for-service arrangements? Explain your answers in 200 to 300 words.

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HCR 230 Week 1 Individual Features of Private Payer and Consumer-Driven Health Plans



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