Question

-What did you learn about Preferred provider organization (PPO), Health maintenance organization (HMO) and Point-of-service (POS)...

-What did you learn about Preferred provider organization (PPO), Health maintenance organization (HMO) and Point-of-service (POS) Health Plans?

Homework Answers

Answer #1

PPO( Preferred provider Organization) is a medical care arrangement in which medical professionals and facilities provide services to subscribed clients at reduced rates.

HMO ( Health maintenance Organisation): It is an organisation that provides or arranges managed care for health insurance, self funded health care benefit plans, individuals and other entities, acting as a liaison with health care providers on a prepaid basis.

Point of a service health plan is combined characteristics of both HMO and PPO. It requires the policy holder to choose an in network primary care doctor.

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
What type of health care plans are normally negotiated? How can a health maintenance organization (HMO)...
What type of health care plans are normally negotiated? How can a health maintenance organization (HMO) be considered as an alternative to such plans? What are the purposes of HMO's?
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?
Ed is considering the health insurance options offered by his employer. He travels frequently and would...
Ed is considering the health insurance options offered by his employer. He travels frequently and would like to be able to go to any physician of his choice, including those outside of his home area. He does not want a policy that mandates care be provided by employees of the insurer, since he believes that could result in a potential conflict of interest. He does not want large out of pocket or coinsurance payments and does not mind patronizing physicians...
What did you learn about your own personality from this course. What “spoke” to you…what did...
What did you learn about your own personality from this course. What “spoke” to you…what did you learn about you? This is a personalites theory class, the longer the answer the better...
I'm an example of a basic, core health plans for households. I fall in the category...
I'm an example of a basic, core health plans for households. I fall in the category of managed care, but generally provide some coverage for people who see medical service providers (e.g. doctors, hospitals) outside of my defined network. More specifically, I offer "two-tiered" coverage, a greater amount for seeing providers within the network but some coverage for those out of network. Who am I? a. a Whole Life (WL) plan b. a Term Life (TL) plan c. 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...
select a health service organization that you are loyal to. If you are not a brand...
select a health service organization that you are loyal to. If you are not a brand loyal customer as it relates to health care services, you can select another brand. Describe why you are brand loyal to this organization or brand? What keeps you coming back? You may also want to attach an article or video of your brand.
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model...
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $377 per month, which is the same amount irrespective of the subscriber’s age....
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model...
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $374 per month, which is the same amount irrespective of the subscriber’s age....
Discussion topic: Healthcare policy what did you learn about the legislation process?
Discussion topic: Healthcare policy what did you learn about the legislation process?