Question: (a) Briefly explain the basic characteristics of the following types of managed care plans: (i) Health maintenance organizations (HMOs)(7 marks) (ii) Preferred provider organizations (PPOs)

(a) Briefly explain the basic characteristics of the following types of managed care plans:

(i) Health maintenance organizations (HMOs)(7 marks)

(ii) Preferred provider organizations (PPOs) (7 marks)

(iii) Point-of-service (POS) plans (7 marks)

(b)What is the purpose of stop-loss insurance that is used with self-insured group medical expense plans? (4 marks)

Step by Step Solution

There are 3 Steps involved in it

1 Expert Approved Answer
Step: 1 Unlock blur-text-image
Question Has Been Solved by an Expert!

Get step-by-step solutions from verified subject matter experts

Step: 2 Unlock
Step: 3 Unlock

Students Have Also Explored These Related Finance Questions!

Q:

1. Consider Case 3 of Albion Computers PLC discussed in the chapter. Now, assume that the pound is expected to depreciate to $1.50 from the current level of $1.60 per pound. This implies that the...

Q:

a. Briefly explain the basic characteristics of the following types of managed care plans: 1. Health maintenance organizations (HMOs) 2. Preferred provider organizations (PPOs) 3. Point-of-service...

Q:

Image transcription text Module 5 Discussion A' Instructions: This discussion will be completed in two parts, and will give you an opportunity to reect upon this week's content and to interact with...

Q:

Question: Old MathJax webview Old MathJax webview i need ans of these question but the source is alot Old MathJax webviewOld MathJax webview i need ans of these question but the source is alot these...

Q:

1. Group insurance differs from individual insurance in several important ways: A. Describe the differences between group and individual insurance. B. Describe the basic underwriting principles...

Q:

Brictly explain the basic characteriatics of the following types of managed care plans: a . Health maintemance organizations ( HMOs ) b . Preferred provider organizations ( PPOs ) c . Point - ot -...

Q:

Describe each of the following types of managed care (MCO) models: Health maintenance organizations (HMOs); Preferred provider organizations (PPOs); Exclusive provider organizations, Physician...

Q:

Now that you've taken a closer look at the differences between these types of plans, consider the following statements. Each indicates common preferences and situations. Select the type of plan to...

Q:

7-2 Brookwood medical center case study6 questions 7-2 Brookwood Medical Center1 "In 1990, a major insurer asked us to bid on performing all of their openheart surgeries in the Southeast United...

Q:

Questions are listed on the 12th page (last page). Thank you! COMMONWEALTH 2 HEALTH PLANS ASSESSING HMO PERFORMANCE COMMONWEALTH HEALTH PLANS is one of Virginia's largest man- aged care organizations...

Q:

Ch 09: Assignment - Insuring Your Health 3. Private health insurance - Comparison of plans and providers In the United States, private health insurance plans can be written as group or individual...

Q:

Question 39 PDF files are primarily meant for: O O networks editing transport viewing 2 pts

Q:

List and discuss the key characteristics of organizational buying that make it different from consumer buying.

Q:

Determine the point of intersection of the plane with equation 3 x 2 y z = 1 7 and the line with parametric equations x = 2 t , y = 1 - 2 t , and z = t 3 .

Q:

Determine the impedance ZL for maximum average power transfer and the value of the maximum average power absorbed by the load in the network shown in Fig P 9.24 j 4 j 420 A Figure P 9.24

Q:

The characteristic wavelengths of light emitted by a distant star are observed to be shifted toward the red end of the spectrum. What does this suggest about the motion of the star relative to the...

Q:

In the network shown Vo=2 1 j1C2 1 6400A Z 2

Q:

A diesel engine has a compression ratio of 20:1 with an inlet of 95 kPa, 290 K, state 1, with volume 0.5 L. The maximum cycle temperature is 1800 K. Find the maximum pressure, the net specific work,...

Q:

Working modulo q = 11, how many spurious hits does the Rabin-Karp matcher encounter in the text T = 3141592653589793 when looking for the pattern P = 26?

Q:

Design a minimum-mass symmetric three-bar truss (the area of member 1 and that of member 3 are the same) to support a load P, as was shown in Fig. 2.9. The following notation may be used: Pu = P cos...

Q:

36. The state of a process changes daily according to a two-state Markov chain. If the process is in state i during one day, then it is in state j the following day with probability Pi,j , where P0,0...

Q:

56. Suppose that on each play of the game a gambler either wins 1 with probability p or loses 1 with probability 1 p. The gambler continues betting until she or he is either up n or down m. What is...

Q:

Suppose in Example 7.4 that Beverly does not keep any surplus batteries on hand, and so each time a failure occurs she must go and buy a new battery. If the amount of time it takes for her to get a...