Explore BrainMass
Share

Health insurance plan

This content was STOLEN from BrainMass.com - View the original, and get the already-completed solution here!

Attached you will find a question I need help. Thank you.

© BrainMass Inc. brainmass.com October 25, 2018, 9:47 am ad1c9bdddf
https://brainmass.com/health-sciences/health-care-management/health-insurance-plan-586706

Attachments

Solution Preview

Imagine you are employed as an account professional in a health care organization. Which type of health insurance do you feel would be the most challenging to submit for reimbursement and in obtaining cooperation in obtaining payment?

There are several health insurers in the US. The first one is the the Health Maintenance Organization ( HMO) . An HMO is a health insurer that contracts with or employs a network of doctors, hospitals, and other types of providers. The patients must visit a provider within the HMO network. The co-payment is required for provider visits.
Another health plan is the ...

Solution Summary

There are several health insurers in the US. The first one is the the Health Maintenance Organization ( HMO) . An HMO is a health insurer that contracts with or employs a network of doctors, hospitals, and other types of providers. The patients must visit a provider within the HMO network. The co-payment is required for provider visits.

$2.19
See Also This Related BrainMass Solution

Medical Insurance Plans

Please provide original responses.

I would like a person who has medical or health insurance background for this problem.

Please give me an example tutorial that I could use for my future classes. Thank you.

How would I compare two insurance companies that offer managed care plans - Health Maintenance Organization (H.M.O.), and Preferred Provider Organization (P.P.O.),

a. What are the similarities in what they offer?
b. What are the differences in what they offer?
c. What are the member/patient incentives?
d. What are the innovations promoted?
e. What are the facilities and patient satisfaction practices?
f. does either have provider incentives and what are they

View Full Posting Details