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Ch. 16
Insurance
Question | Answer |
---|---|
what are some methods used by managed care to decrease costs | hiring providers as employees, offering a flat rate payment per pt, offering a fee-for-service arrangment |
staff model HMO | employs salaried providers who provide services only to plan members; don't see pts out side of HMO plan |
group model hmo | physicians are paid a set fee each month per pt. |
open-ended hmo | physicians are not employees, paid on a fee for service basis; pt must choose a PCP from list |
Point of service HMO | not employees but are contracted to provide discounted rates to HMO members; payments are made on a fee-for-service system |
traditional insurance |