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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 HMO’s 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 HMO’s • Recent shift from HMO’s to PPO’s • Why the shift? • Consequence: costs have risen .....
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- Spring '10
- MEDICAL TECHNOLOGIES, Diagnostic technologies Therapeutic technologies Reproductive technologies, Managed Care I., indemnity PPO HMO