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Health Maintenance Organizations - Assignment Example

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This assignment talks about the main models of both the Health Maintenance Organization and the Preferred Provider Organization. The paper also discusses how Health Maintenance Organizations and Preferred Provider Organizations differ from each other…
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Health Maintenance Organizations
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Health Maintenance Organizations

Download file to see previous pages... The assignment "Health Maintenance Organizations" overviews the Health Maintenance Organization and discusses how it differs from the Preferred Provider Organization. A Preferred Provider Organization combines managed care with the traditional insurance. This plan, unlike HMO, allows for the patients to go outside their health care plan. It also utilizes a network of health care specialists who are paid on a fee-for-service basis rather than prepaid. The insurer pays a small amount on doctor’s visit while the insurance pays the rest of the fee. HMOs only cover their patients if they visit HMO designated doctors while PPO patients have freedom of movement with partial payment covered by insurance while they pay the rest. PPOs also have a wider network of physicians and specialists than HMO as most of these physicians prefer it due to the prompt fee for service pay. On the other hand, HMOs are much cheaper than PPOs and their plans are rated more favorably by their subscribers even though nowadays PPO has more people. BlueCross Blue shield Michigan’s mission is to improve the healthcare of residents of Michigan and the vision is to make significant contributions to the health care in that state. The mission of Zinn Insurance Agency is to meet the health needs of individuals and seniors. Its vision is to continue growing the needs of the family. Williams Insurance Agency Inc. has the vision of meeting the needs of the customers through quality care while its mission is to make a difference in the community. ...Download file to see next pagesRead More
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