capitation payment methodologies between payers and providers, and Medicare or Medicaid with commercial Managed Care organizations (MCO)

Discuss capitation payment methodologies between payers and providers, and Medicare or Medicaid with commercial Managed Care organizations (MCO). Explain at least three important aspects that you as a medical business professional would need to understand when negotiating payment contracts either between a provider and the MCO, or negotiating between the MCO and Medicare.





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