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Evolution of OT Delivery Systems

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Capitation   A fixed amount periodically paid to a provider for delivery of services for each person covered under a contract or policy  
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Entitlements   Government payments that are made through legislatively specified programs to individuals having certain designated characteristics and circumstances, such as age or need  
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Health Maintenance Organization (HMO)   A prepaid organized delivery system where the organization and the primary care physicians assume some financial risk for the care provided to its enrolled members  
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Indemnity   The standard fee-for-service insurance policies provided by employers, organizations, or individuals. Usually the most expensive type, this insurance covers service from any provider  
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Managed Care   A synonym for all kinds of integrated delivery systems, in contrast with unmanaged, fee-for-service care.  
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Medigap insurance   Medicare supplemental insurance policies that are available through private companies  
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Point of service plan (POS)   An open-access plan similar to an HMO that provides limited coverage for self-referral outside the network  
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Preferred provider organization (PPO)   An entity that acts as a broker between the purchaser of care and the provider in which consumers have the option of using the preferred providers available with the plan or not  
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