KELLER HSM 546 Week 4 Assignment Managed Care Enrollment

KELLER HSM 546 Week 4 Assignment Managed Care Enrollment

KELLER HSM 546 Week 4 Assignment
Managed Care Enrollment

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HSM 546 Week 4 Assignment Managed Care Enrollment
Scenario Summary Managed Care Plan Enrollment
Atlanta, Georgia has a very diverse work force, consisting of men and women of
various ages, ethnic groups, skills, and education. Many people live and work in one
of approximately 14 counties that make up the Atlanta region. It is not uncommon
for an employee to drive close to 100 miles one way to get to work. The employer
base is diverse as well, consisting of large and small employers that range from
entrepreneurs; healthcare services; local, state, and federal government offices;
information technology; higher education; landscaping; personal services; banking;
and the fast-food industry. Now that we have some background information, let's
learn more about the ABC Insurance Company located in Atlanta.
The ABC Insurance Company has been very aggressive and quite successful in
recruiting companies, organizations, and individuals to join its managed care plans.
Their ranges of services and rates have been extremely competitive. Their employer

base is spread out among the 14 counties, which has been attractive to many
employers. The ABC Insurance Company has been quite successful in selling its
managed care insurance program to employers and organizations, so what is the
issue?
Verde Greene Hospital has an excellent reputation for quality in maternity care,
cardiac rehabilitation, and orthopedic medicine, and it is the only hospital in town to
have received the Magnet Award for Excellence in Nursing. A sizable number of
employer groups as well as employees, who have insurance coverage with ABC
Insurance Company, want Verde Greene Hospital to be included in the network as a
participating hospital....

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