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Unformatted text preview: 1. Kinds of insurance coverage Traditional indemnity PPO HMO: Prepaid group practice IPA/ Network model 2. Why managed care? 3.How HMOs control costs Educational techniques (e.g., practice guidelines, stats. on practice patterns Incentives (salaries, capitation) Sanctions/physician selection Utilization management 4. What is the impact of managed care on: The medical profession Cost and quality Medical decision making Medical ethics The doctor-patient relationship 5. Managed care and the fate of HMOs Recent shift from HMOs to PPOs Why the shift? Consequence: costs have risen .....
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- Spring '10