Describe preferred provider organization plans and explain their limited ability to control healthcare costs.
What will be an ideal response?
A PPO plan is a form of managed care in which the insurer contracts with healthcare providers that agree to a reduced-cost fee schedule. Covered persons who use a preferred provider pay less through a combination of lower premiums, lower deductibles, and smaller co-payments. A PPO plan is still fee-for-service, and providers have no incentives for reducing services.
Health Professions
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What is the major objective of the Affordable Care Act?
a. to reduce cost b. to provide insurance coverage c. to enhance quality d. to simplify administration
Health Professions
The modifier for a medicine procedure that is performed by itself, although normally performed as part of a larger, more extensive procedure is:
A) -25. B) -26. C) -51. D) -59.
Health Professions