Communication > EXAM > OSI Quiz 2, CH. 4 & 8 Flashcards Questions and Answers 2023 (All)
OSI Quiz 2, CH. 4 & 8 Flashcards Questions and Answers 2023
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Ways of paying for health care - -Out-of-pocket payments Individual health insurance Employment-based health insurance Government financing -Employment based health care - -Subsidized by federal... government b/c business expense not a taxed benefit like if the individual took it -Fee-for-Service Payments - -Unit= visit or procedure Only payment based on individual components rather than aggregate of services -Payment by Episode of Illness - -Physician or hospital paid one sum for all services delivered during one illness -Per Diem Payment to Hospitals - -Hospital paid for all services delivered to a pt during 1 day -Capitation Payment - -One payment for each pt's care during a month or year -Managed Care Plans 3 Major Forms - -Fee-for-service w/ utilization review Preferred provider organizations (PPOs) Health maintenance organizations (HMOs) [Show More]
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