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an HMO contracts with a group of physicians to deliver client services. The sponsor then compensates the medical group on a negotiated per capita rate
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What has the author Tom Debley written?
Tom Debley has written: 'The story of Dr. Sidney R. Garfield' -- subject(s): Physicians, Health Maintenance Organizations, Prepaid Group Practice, Kaiser Permanente, History, Group medical practice, Biography, Health maintenance organizations
How does the Health Maintenance Organizations' network model operate?
he HMO contracts with various groups of physicians based on the specialty that a particular group of doctors practices. Enrollees then get their service from a network of providers based on their specialized needs.
Name four types of health maintenance organization HMO models?
The four types of HMOs involve the arrangement with the physicians. HMOs can operate as a PPO, that is Preferred Provider Organization, as an IPO that is an Independent Provider Organization, or with a Physician Group within the HMO or any combination of the above.
What does HMO stand for?
Health Maintenance Organization HMO stands for Health Maintance Organization. Basically an HMO lets you go to a small group of doctors and hospitals. But, if you go anywhere else you have NO COVERAGE.
Where can one obtain group health insurance?
The easiest way to get group health insurance is through an employer's benefits package. Because this is not always possible, many groups, clubs and organizations arrange for insurance option using the members who buy insurance through them as the group to lower the cost.
How are Preferred Provider Organizations operated?
A large insurer or a group of doctors or hospitals typically organizes a PPO. Under this arrangement, networks of health care providers contract with large organizations to offer their services at a reduced rate
How can group purchasing organizations improve the overall savings for an organization or institution?
Group purchasing organizations (GPOs) provide cost savings by using high volume purchasing power to secure significant price discounts for organizations or institutions. Health care group purchasing organizations, for example, negotiate effective and cost-efficient contracts with suppliers of medical products and services for the benefit of multiple hospitals. Health care GPOs aggregate the purchasing needs of their members, including hospitals, nursing homes, and other medical care providers, thereby lowering the purchase costs and reducing the prices at which products and services are provided to patients.
What is capitated health insurance?
capitated health insurance is when a physician gets paid a specified dollar amount, for a given time period, to take care of the medical needs of a specified group of people. Often used in Health Maintenance Organization (HMO) Insurance Plans.
What are the disadvantages of a printing press?
While the health concerns are very uncertain, various health and science oriented political pressure organizations such as the Environmental Working Group have pressed for these to be pulled from market.
What types of health insurance are available?
The insurance market is made up of the following:1. Federal Health Insurance (Medicare, Medicaid, Veterans Affairs, SCHIPS and Indian Health Service)and2. Commercial Health Insurance (Private or Public Companies such as United Healthcare, Nonprofit Organizations such as most Blue Cross Blue Shield Organizations, although some are for profit, and Patient Owned Co-ops such as Group Health in Washington state)Both the Federal and Commercial Insurance Companies have tried to lower expenses by allowing other companies (referred to as Managed Care Organization's) to act as the "agent" responsible in making sure that the patients (referred to as policy holders,beneficiaries and/or members) select a plan (also called a Policy) that covers the medical services (also called the benefits) most appropriate for each patient.In case you were wondering, HMOs (Health Maintenance Organizations) are considered Managed Care Companies.
What is physical maintenance and care of group member?
provision of food,shelter and clothes basic necessities for human growth and survival provide health care and protection for dangerous situations
Possessive plural for organizations?
The possessive form of the plural noun organizations is organizations'.Example: A group of the organizations' leadership will be meeting to discuss the federal budget cuts.
