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It’s Insurance Carriers versus Medical Providers
Dr. David Edward Marcinko; MBA CMP™
[Publisher-in-Chief]
Some of the benefits for corporate America (payers), who supply the majority of health insurance to employees (insureds) through managed care organizations [MCOs] are listed below.
MCO Carrier Benefits
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Known medical expenses (fixed; not variable costs) to companies
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MD/provider’s bear the risk and benefits of patient compliance, not corporations
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Less administrative staff needs since medical claims are no longer reviewed
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Costs are reduced through economies of scale
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Patients are controlled and MD’s carefully managed.
Medical Provider Benefits
The following is a brief list of the benefits physicians supposedly may derive by participating in managed care plans:
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Stable patient load and predictable cash flows
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Potential referrals and community visibility
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Reduced office expenses, liability and utilization review
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Reputation equivalency (i.e., all doctors in the plan are good).
Assessment
Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
- PRACTICES: www.BusinessofMedicalPractice.com
- HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
- CLINICS: http://www.crcpress.com/product/isbn/9781439879900
- ADVISORS: www.CertifiedMedicalPlanner.org
- FINANCE: Financial Planning for Physicians and Advisors
- INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
- Dictionary of Health Economics and Finance
- Dictionary of Health Information Technology and Security
- Dictionary of Health Insurance and Managed Care
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