managed care and health insurance the provider network managed care contracting presentation

Option #1: The Provider Network – Managed Care Contracting Presentation

The provider network is one of the most important elements of managed care because managed care could not exist without it.

  • What is the provider network?
  • Explain how the provider network is linked to act of managed care contracting?
  • What are 2-3 common challenges that a typical member of the provider network might encounter with managed care contracting? Explain why.
  • Discuss different approaches that a health plan might take to developing and maintaining a network under differing conditions such as a rural area, underserved area, or community where there is minimum competition between some specialties. Explain why.

Your presentation should meet the following requirements:

  • Be 4-6 slides long.
  • Include title, introductory, concluding, and reference slides for a total of 8-10 slides.
  • Each slide should have at least 150 words of speaker’s notes.