« previous next »

Author Question: The type of health maintenance organization (HMO) plan that involves contracting with individual ... (Read 65 times)

jon_i

  • Hero Member
  • *****
  • Posts: 549
on: Jun 27, 2018
The type of health maintenance organization (HMO) plan that involves contracting with individual physicians to create a healthcare delivery system is a(n):
 
  A. group model.
  B. individual practice association (IPA) model.
  C. network model.
  D. staff model.

Question 2

Which of the following is a characteristic of a preferred provider organization (PPO)?
 
  A. It includes a contracted network of providers.
  B. Members select a primary care physician (PCP) as a gatekeeper.
  C. The plan is more restrictive than a health maintenance organization (HMO).
  D. Members must obtain referrals to see a specialist.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


DHRUVSHAH

  • Sr. Member
  • ****
  • Posts: 317
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: individual practice association (IPA) model.

Answer to Question 2

Answer: It includes a contracted network of providers.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

Wild-type versus mutant fly Wild-type versus mutant fly
The first step in field recovery involves surveying the site, sometimes with special equipment. The first step in field recovery involves surveying the site, sometimes with special equipment.
Comparison of Paper Medical Records and Electronic Health Records Comparison of Paper Medical Records and Electronic Health Records
Comparison of Paper Medical Records and Electronic Health Records Comparison of Paper Medical Records and Electronic Health Records
Connections of a nitric acid plant, intermediate pressure type Connections of a nitric acid plant, intermediate pressure type
Environmental Health Environmental Health
Video: Adolescent Diabetes

For a complete list of videos, visit our video library