Answer to Question 1
HMO staff model: HMO entity owns the facilities and employs the health care providers. Health care providers are paid a fixed salary, and any profits go directly to the HMO.
Group model HMO: operates on a contractual basis with health care provider medical groups and facilities that provide services to members.
Network model HMO: contracts with more than one physician group, hospital, and other facilities to provide a comprehensive health care package. Health care providers may share in some of the profit or loss of the HMO according to contract terms but are not required to provide care only to the patients of a specific HMO.
Answer to Question 2
Health maintenance organizations, preferred provider organizations or networks, point of service organizations, and managed indemnity insurance plans. Health maintenance organizations arrange for or provide health services to an enrolled population; individuals pay a fixed sum of money monthly or annually. Preferred provider organizations allow the member to decide which physician they will go to, but if using a physician in the PPO, patients pay a discounted rate. Managed indemnity plan is the industry term for traditional health insurance in which the insured patient is reimbursed for expenses after the care has been given; patients pay a deductible and coinsurance fees.
Location of major biodiversity hot spots around the world.
Table 6.1 illustrates the main regime types and their differences. It breaks the regimes into four
Major Diagnostic Categories of Mental Disorders Cont
The diaphragm: The major muscle of breathing.
The crude oil refining showing most of the major steps and processes.
Maternal age is the major risk factor for autosomal trisomies of all types. By age 42, about one in