employee benefits
Managed care benefit plans are increasing in popularity in recent years, and the most typical managed care plans are HMOs and PPOs.
- Define each type of managed care plan.
- Compare and contrast
- how providers are paid by each plan.
- flexibility of each plan in terms of choosing a health care provider in and out of network.
- usage of gatekeepers.
- If you had to choose one of these types of plans for your own benefits coverage, which would you choose and why?
Solution Preview
Managed care benefit plans are personal insurances that are used to cover individuals for medical purposes. In contemporary society, the cost of treatment has been a concern to many, especially in the third world countries. As a result of this, hospitals, medical facilities, and other health care providers usually sign contracts with these plans to cover the members at a reduced cost. This paper, therefore, seeks to explore the meaning of the different Managed care benefit plans, compare and contrast how payment is paid to providers by each plan, the flexibility of each program, usage of gatekeepers and to evaluate and to give reasons for the best plan to choose (Reference Cummings, 2016).
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