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Managed Care Referral Form Bcbs

Managed Care Referral Form Bcbs

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hi how's it going so this is dr a with your chapter 9 lesson on managed care impact on health care delivery for u.s health care so we're going to define managed care we're going to look at the different network types of over a mass care organization so that'd be like the hmos and ppos and so so forth and then we're going to discuss the history of managed care and look at cost control of managed care so the concept of managed care has been evolving since the early 1930s and this health plan employer data and information data set which is called hedis is a data set of the healthcare plan service activities and is used to evaluate healthcare plans which means that basically every time a claim is filed and all that it enters into this database it is voluntary but nearly 100 of the health plans are submitting their data to headers and then you can see what kind of claims are filed where where cost is going what different you know cost of various services where people are spending their mone

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