Question

A ____ is a type of managed health care plan where the provider provides services on...

A ____ is a type of managed health care plan where the provider provides services on a prepaid basis for a fixed period of time.

a. PPO.

b. PMO.

c. NPPO.

d. HMO.

Homework Answers

Answer #1

PPO stands for preffered provider organization it offers for reduced costs to members billed to their medical insurance a member can choose for the the physician and also can choose between member and non member

PMO stands for Project management office. healthcare is a complex, dynamic, and evolving industry. Many of the challenges healthcare organizations face today will not be the same challenges faced in a couple of years from now. Key decisions made by industry leaders are both central to patient welfare and pivotal to business success.

HMO stands for health maintenance organization it provides for health care to its employess by consulting to specific physicians at reduced costs unlike PPO.

Hence we conclude that HMO is a type of managed health care plan where the provider provide services on a prepaid basis for afixed period of time

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc.) and describe...
Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc.) and describe provider incentives and risks under each of the following reimbursement methods: Cost-based Charge-base (including discounted charges) Per procedure Per diagnoses Per diem Global pricing Capitation
I am insurance that provides for living and illnesses generally associated with nearing end-of-life, which frequently...
I am insurance that provides for living and illnesses generally associated with nearing end-of-life, which frequently have my policyholders being in assisted living or a nursing home. Who am I?   a. term life insurance b. long-term care insurance c. Medicare d. managed care health plan e. whole life insurance Which type of health insurance policy typically consists of coverage of 80%, or similar, of expenses after meeting an annual deductible? a. a Preferred Provider Organization (PPO) plan b. a Health...
MAH116 Assignment 1.2 Insurance Plans 1.   For each of the following managed care plans, describe the...
MAH116 Assignment 1.2 Insurance Plans 1.   For each of the following managed care plans, describe the deductible, coinsurance, and copayment requirements. a.   Health maintenance organization (HMO): b.   Preferred provider organization (PPO): c.   Exclusive provider organization (EPO): 2.   A(n) ____________is a review of individual cases by a committee to make sure services are medically necessary and study how providers use medical care resources. 3.   A(n) _____________is a healthcare provider who enters into a contract with a specific insurance company or program...
1. Describe the basic features of the following managed care models: HMO, PPO, IPA 2. Explain...
1. Describe the basic features of the following managed care models: HMO, PPO, IPA 2. Explain the benefits of the Consolidated Omnibus Budget Reconciliation Act (COBRA).   3. Differentiate between a group plan and an employer-sponsored plan. 4. Describe which type of insurance you have or would like to have, and why.
Some managed care plans use physicians, hospitals, and health care organizations that agree to make medical...
Some managed care plans use physicians, hospitals, and health care organizations that agree to make medical services available to insureds at discounted fees. Insureds are not required to use these entities, but if they do, health care costs are less than if these entities are not used. Such health care organizations are called: A. Preferred Provider Organizations (PPOs) B. Health Maintenance Organizations (HMOs) C. Blue Cross/Blue Shield Plans D. Health Savings Accounts ( HSAs)
What is the impact of managed care on cost, access and quality of health services?
What is the impact of managed care on cost, access and quality of health services?
Pros and Cons of Managed Care in America Managed healthcare can be defined as a health...
Pros and Cons of Managed Care in America Managed healthcare can be defined as a health care delivery system organized to manage health care cost, utilization, and quality. It is used in the United States and its main goal is to reduce the cost of for-profit health care and provide affordable care for all Americans. It includes an organization of providers, choice of payment type, and the record-keeping of services rendered. Its goal is to be an effective way for...
16. A pre-existing condition is a ______ one that is diagnosed before a person obtains health...
16. A pre-existing condition is a ______ one that is diagnosed before a person obtains health insurance. A) acute B) fatal C) chronic D) serious 17. A ______ organization provides health care at its own facilities for a fixed monthly fee. A) health maintenance B) private provider C) health management D) preferred provider 18. A group of doctors/hospitals that agree to provide specified medical services to members at prearranged fees is: A) preferred provider organization B) primary care organization C)...
Business plan to model a home health care services must show example of different services in...
Business plan to model a home health care services must show example of different services in their plan. along with a Executive Briefing plan.
1. What type of health insurance plan you have-- Is it an HMO, PPO, other? 2....
1. What type of health insurance plan you have-- Is it an HMO, PPO, other? 2. Based on what you know so far, how do you feel about the idea of a “Medicare for All” system some politicians (e.g. Bernie Sanders) have proposed? What do you think they mean by “Medicare for All”? Would these changes to our health system be good or bad? Why?