This is two papers, not one. There is part 1 for one paper and part 2 for the ot
This is two papers, not one. There is part 1 for one paper and part 2 for the other. The price should be 80, not 40. These two are one and the same that is why they are both on this order.
Complete the Problem beginning on page 463 of your text titled “Problem: Economic Credentialing” in a one to two-page paper. Submit the completed assignment to your instructor. See page 369 for a general descriiption of Marcus Welby Hospital.
You are the lawyer for Marcus Welby Community Hospital. The administrator approaches you about how to amend the bylaws so that the hospital can get rid of doctors who are costing the hospital too much money under Medicare and HMO insurance. The administrator is concerned about which removal actions can be defended in court and which bylaw amendments are politically feasible with physicians. Advise the administrator on each of these options:
• Amend the Hospital Bylaws to give the hospital board authority to remove doctors from the medical staff for any reason, regardless of the medical staff’s own recommendations, as long as the medical staff is first consulted.
• Amend the Medical Staff Bylaws to declare that an additional criterion for a medical staff member is to practice an efficient style of medicine that avoids wasting medical resources or providing unnecessary care.
• Forget about amending any bylaws. Instead, go after physicians who are economic losers based on their general medical competence and their unwillingness to be cooperative.
• Keep but supplant the entire medical staff structure by limiting who can practice in each department through one-year renewable contracts with the 200 best doctors out of the present 300.
Note that the assignment asks you to comment on each of the options, not just one. You may comment on one option being better than another for some reason, but be sure to comment on all the options. Support your advice with material from the text.
One of Marcus Welby Hospital’s (MWH) competitors established a successful IPA-model HMO two years ago. Fearing the loss of patients, MWH is forming the Marcus Welby Managed Care Network (the Network). The objective is to sign up a number of physicians, mainly in primary care but also in common specialties, and then to market, this network to these two sources: () large employers who provide health insurance to their workers on a self-insured basis; and 2) large regional or national insurance companies (such as Blue Cross) who then offer the network to their customers.
The Network is approaching each physician group individually and asking them to sign up nonexclusively, leaving them free to sign up with other networks or HMOs. The contract excerpts on pages 493 and the following contain some common sticking points in these negotiations. Read each pairing of contract options and determine what is at stake. Then, assume the position of lawyer/negotiator for either (a) the Network or (b) a physician group who wants to sign up but is concerned about the details.
• Write in your paper what you would say in a meeting with a representative from the other side and
• Describe how you would hammer out a deal, either adopting one version or the other or making any changes you want.
• You must therefore be able to write clearly about what the concerns of the other side would be.
• Cite when appropriate.