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Health Laws: Physician Incentives

I need help with addressing the following research questions from the following article (Physician Incentives – see below)

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  1. Consider this idea from the paper: “Medicine is a moral enterprise. Because MCOs are involved in the delivery of medical care, they, too, are moral entities. However, MCOs are also businesses “.
  2. Explain the idea that the authors sought to convey.
  3. Discuss the physician’s dual function under an MCO model of care.
  4. What concerns does one have about the physician- patient relationship under MCOs?
  5. Scholarly references
    Thank you

D.A. Mains, A. Coustasse, K. Lykens: Physician Incentives: Managed Care and Ethics. The Internet Journal of Law, Healthcare and Ethics. 2004 Volume 2 Number 1. DOI: 10.5580/24ae – See more at: http://archive.ispub.com/journal/the-internet-journal-of-law-healthcare-and-ethics/volume-2-number-1/physician-incentives-managed-care-and-ethics.html#sthash.3DylQTh8.dpuf
© BrainMass Inc. brainmass.com March 22, 2019, 1:37 am ad1c9bdddf
https://brainmass.com/health-sciences/topics-in-health-and-wellness/health-laws-physician-incentives-545626
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Managed Care
I need help with addressing the following research questions from the attached article (Physician Incentives)

  1. Consider this idea from the paper: “Medicine is a moral enterprise. Because MCOs are involved in the delivery of medical care, they, too, are moral entities. However, MCOs are also businesses “.

Managed Care Organizations include networks of providers, most of whom are physicians, nurse practitioners, physician assistants, physical and occupational therapists, nurse, surgeons, radiologists, and other specialists. Managed care organizations also consist of benefits administrators and those who process claims to pay providers or their practices. As members of MCOs physicians are often pressured into making tough decisions about patient care. Benefits administrators may set limits or expect providers to deliver the most efficient and cost effective care possible. However, what is in the best interest of the patient is not always the most efficient or cost effective measures, depending on circumstances. Providers and benefits administrators alike are in the business of providing health care services. Yet, they are also in the business of generating revenues. Profitability is necessary for both functions of MCOs to continue providing services.

  1. Explaining the idea that the authors sought to convey.
    The idea the authors convey in Mains, …

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