Cooper-Pearson Sports Marketing-Cooper-Pearson is a very successful sports

Comparing HMO, PPO Insurance Options

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Scenario Summary – Cooper-Pearson Sports Marketing

Cooper-Pearson is a very successful sports marketing company
with 75 employees. It has been in existence for 10 years, and clearly has a
bright future. One of the fundamental reasons for Cooper-Pearson? s phenomenal
growth has been an investment in selecting the best and brightest men and women
from colleges and universities throughout the United States, and paying them
well. Cooper-Pearson Sports Marketing has noticed that in the past two years,
15 key senior employees have left the firm. Many of these men and women have
joined, Always on the Ball Sports Marketing Company, a competitor of
Cooper-Pearson. During the exit interviews, one of the reasons that is
consistently mentioned as a reason for leaving is the lack of adequate or
affordable medical insurance.

Cooper-Pearson Sports Marketing has come to understand that
a competitive compensation package must include medical benefits that employees
want and can afford. They also understand that medical insurance has become an
important recruitment tool, in attracting quality employees. Like the company,
quality coverage is extremely important, but so is cost.

Your Role

The company has engaged your services to research several
insurance programs. First, compare and contrast the differences between an HMO,
PPO and indemnity insurance program. From the list below, select and discuss at
least one other important service that Cooper-Pearson should consider when
selecting an insurance program.

1. Discuss the importance of managed care physician
credentialing.

2. Explain the benefits of a Prescription Drug Program to
the employer and employee.

3. Explain the importance of quality management indicators
in managed care programs.

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