Hcr 220 Payment Methods Presentation

Hcr 220 Payment Methods Presentation - Features-Low co...

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Payment Methods Presentation Indemnity Plan Health Maintenance Organization (HMO) Point-of-Service (POS) Preferred Provider Organization (PPO) Consumer-Driven Health Plan
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Indemnity Plans Provider Options - Any Provider Cost Containment Method - Little to none - preauthorizations are required for certain procedures Features - Higher costs to clients - Deductibles - Co- insurance -
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Managed Care Providers HMO POS PPO PHO CDHP
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Payments Under Capitations
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Health Maintenance Organizations Provider Option - Only HMO network Cost Containment Methods - Physician manages care and referrals - Wont pay for out of network or non emergency - Preauthorization required
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Unformatted text preview: Features-Low co payments-Limited network Point Of Service Provider Options-Network and out of network Cost Containment Methods-Physician manages within network Features-Lower co payments within network-Higher costs for out of network-Covers preventive care Preferred Provider Organization Provider Option-In or out of network Cost Containment Methods-Referrals not required for spet-Fees are discounted-Preauthorization for some procedures Features-Higher cost for out of network-Preventive care coverage varies The End Works Cited hcr220r3_week1_reading1.pdf...
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Hcr 220 Payment Methods Presentation - Features-Low co...

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