Using case-mix information to evaluate the feasibility of a PPO.
Considering whether or not to organize a preferred provider organization is a complex task. Managers will need to address many financial, legal, marketing, and organizational issues. In this case study, case-mix management information is used to address issues such as, types of patients to attract, businesses and insurance companies to include, physicians to recruit, and prices to charge, to enable the manager to make more informed decisions.
D002391:Catchment Area, Health; D003953:Diagnosis-Related Groups; D005240:Feasibility Studies; D006752:Hospital Planning / Q000379:methods*; D007348:Insurance, Health / Q000458:organization & administration*; D011243:Preferred Provider Organizations / Q000458:organization & administration*; D014481:United States