PART A: In the Kaiser Permanente Modelof Managed Care:
what is the relationship between theinsurance plan and the provider network (especially physiciangroups and hospitals)?
Is the relationship cooperative andpositive, or adversarial, negative, and suspicious?
PART B: Whatis the Coordination function as performed by a Primary CarePhysician or Primary Care Team, and why is it KEY to successfulmanagement of Patient Care?–
PART C:Briefly describe two (2) of the Managed Healthmanagement techniques used by the two predominant Managed CareHealth Plans of the 1990s (HMOs, POS Plans) to influence and/orcontrol provider and patient choices about the type, length andlocation of medical treatment.
PART D:Briefly describe two (2) positive accomplishmentsof Managed Health Insurance Plans in the 1990s.
PART E:Briefly describe one (1) key reason for Provideropposition to Managed Health Insurance as it was implementedthrough HMOs and Point of Service Plans.
PART F:Briefly describe one (1) key reason forPatient/Health Plan Enrollee opposition to Managed Health Insuranceas it was implemented through HMOs and Point of Service Plans