Managed care is very important to understanding healthcare delivery and insurance in the US.

by | Sep 23, 2021 | Uncategorized | 0 comments

Managed care is very important to understanding healthcare delivery and insurance in the US.
Answer the following questions that are based on pages 34 – 36 in the textbook (The Health Care Handbook) or Chapter 2, Under Insurance, Coverage and Organization formats ). You may also use the following article to help you (but are not required to read the following article):
https://www.fool.com/investing/general/2015/10/06/what-is-managed-care.aspx
Please make sure to use the information on the pages in the photo
1. What is the name of the most conventional type of insurance plan that was originally offered by Blue Cross/Blue Shield?
2. The other model for insurance is Managed Care Organizations. List the three basic types of managed care organizations (MCOs):
3. The book states that HMOs are the most “tightly integrated” insurance plan. In your own words, what do you think this means?
4. Define gatekeeping (in the context of health care) in your own words:
5. Define pre-authorization:
6. Why do insurance companies practice things like restricting provider choice, gatekeeping, and pre-authorization?
7. A big component of managed care is provider networks. In your own words, describe what you think a provider network is.
8. What are the three types of consumer-driven health plans?
9. How would you describe consumer-driven health plans in your own words?
10. What type of person would enroll in an HSA?

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