Unformatted text preview: provider is able to perform and the fees for those services. Currently, managed care plans are the most predominant form of insurance. Over 90 percent of all insured employees are enrolled in some type of managed care plan while others are enrolled in health maintenance organizations, point-of-service plans, preferred provider organizations and consumer-directed health plans. Based on the information presented to me about financial coverage, I would have to say that each plan offers some type of financial or coverage benefits to both consumer and provider. Depending on what is more convenient for the consumer or provider, determines which plan would work best for them. Reference Valerius, J., Bayes, N., Newby, C., & Seggern, J. (2008). Medical Insurance: An Integrated Claims Process Approach (3 rd ed.). Boston: McGraw-Hill....
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- Spring '10
- preferred provider organization, health plans, MCO