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Author Question: The type of health maintenance organization (HMO) plan that involves contracting with individual ... (Read 63 times)

jon_i

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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
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DHRUVSHAH

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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.


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