Managed care operations and plan design.
Plan design has come a long way from the days when all one had to do was figure out the right deductible, coinsurance and out-of-pocket amounts and consider some questions about competitive practice and employee perception. Today one must also consider systems capabilities, strategic fit, provider requirements and consistency of the logic supporting each payment decision.
Havlin
L J
LJ
Hewitt Associates, Lincolnshire, IL, USA.
D003362:Cost-Benefit Analysis; D004465:Economic Competition; D017049:Employer Health Costs; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D010934:Planning Techniques; D014481:United States; D014600:Utilization Review