Tag Archive for: HMO

Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc.

Q. Review managed care contracts for different payment plans (PPO, HMO, Fee for services, etc.) and describe provider incentives and risks under each of the following reimbursement methods:
Cost-based
Charge-base (including discounted charges)
Per procedure
Per diagnoses
Per diem
Global pricing
Capitation
Class HA520 Healthcare Financing
Using Healthcare Financing, 6th ed. Louis C Gapenski
Thank you
Andria