Question 29

Question 29 0.185 Points Match the five types of Health Plans with the appropriate characteristic Prompts Submitted Answers Staff Model HMO Choose a match Group Model HMO Either the physicians are employees of the HMO OF they provide most of their services to HMO members through a contractual relationship IPA Model HMO Network Model HMO The HMO contracts with one or more medical groups to provide all necessary services to HMO members POS Plans Contracts with the HMO for needed medical services, but the individual physicians maintain their own independent practices and use this model only to sign contracts with HMOs and other health plans Question 30 Match the following term with the definition Prompts Allows HMO members to seek medical services outside of the HMO panel of providers. In most situations the cost of services to the HMO subscriber her when care is received out of network Coordination of Benefits Point of Service (POS) A hybrid that may contract with both medical groups and PAs and employ individual physicians PPO Plans