This assignment talks about the main models of both the Health Maintenance Organization and the Preferred Provider Organization. The paper also discusses how Health Maintenance Organizations and Preferred Provider Organizations differ from each other…
The assignment "Health Maintenance Organizations" overviews the Health Maintenance Organization and discusses how it differs from the Preferred Provider Organization. A Preferred Provider Organization combines managed care with the traditional insurance. This plan, unlike HMO, allows for the patients to go outside their health care plan. It also utilizes a network of health care specialists who are paid on a fee-for-service basis rather than prepaid. The insurer pays a small amount on doctor’s visit while the insurance pays the rest of the fee. HMOs only cover their patients if they visit HMO designated doctors while PPO patients have freedom of movement with partial payment covered by insurance while they pay the rest. PPOs also have a wider network of physicians and specialists than HMO as most of these physicians prefer it due to the prompt fee for service pay. On the other hand, HMOs are much cheaper than PPOs and their plans are rated more favorably by their subscribers even though nowadays PPO has more people. BlueCross Blue shield Michigan’s mission is to improve the healthcare of residents of Michigan and the vision is to make significant contributions to the health care in that state. The mission of Zinn Insurance Agency is to meet the health needs of individuals and seniors. Its vision is to continue growing the needs of the family. Williams Insurance Agency Inc. has the vision of meeting the needs of the customers through quality care while its mission is to make a difference in the community. ...
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(Health Maintenance Organizations Assignment Example | Topics and Well Written Essays - 250 Words)
“Health Maintenance Organizations Assignment Example | Topics and Well Written Essays - 250 Words”, n.d. https://studentshare.net/nursing/828710-health-maintenance-organizations.
Dementia, majorly characterized by depression, may be caused by progressive or static injuries to the brain, which ultimately lead to other damages or diseases in the body (Berrios, 1987). That dementia is not a single disease is supported by the many signs and symptoms that characterize it.
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yers or individuals for healthcare premiums and in turn cover for the cost of payment to various health plans like; Health Maintenance Organizations (HMOs) which are done by paying fixed prepayment by individuals who become members of the organization. Preferred Provider
Providers are reimbursed based on the service provided although the number of services that they can deliver is limited by the amount subscribed by the subscribers (Edwards, Fox & Stonier, 2010). Health care providers are reimbursed as a group and therefore do not have to follow
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