How would you handle behavioral health services?
SCENARIO: You are responsible for the request for proposal (RFP) department in an MCO. Several employers have come to you looking for health insurance benefit offerings to their employees. You are to provide a package of health care insurance benefit coverage recommendations based on the size of each company: small group, medium group, and a large group.For each company size, recommend the services you would offer that sized company. Include how those services would be organized. You may assume anything you want about the employer. Incorporate your assumptions into your paper.Be sure to include such things as what payment systems would be implemented (fee-for-service? capitation? deduction? and so forth).How would you incorporate inpatient and outpatient services? How would you handle behavioral health services?
