You Decide Project Paper
You Decide Project
Cooper-Pearson Sports Marketing
Keller Graduate School of Management
July 17, 2013
You Decide Project
My research paper will discuss HMO and PPO by contrasting and comparing, as well as indemnity insurance program. Also I will discuss which of these three managed care programs is the best service for Cooper-Pearson. And will answer the following questions; (1).Discuss the importance of managed-care physician credentialing, (2). Explain the benefits of a prescription drug program to the employer and the employee, and (3). Explain the importance of quality- management indicators in managed-care programs.
First of all, before we make the decision on which of these managed-care organizations is a better service for …show more content…
A PPO (Preferred Provider Organization) is a managed care organization of medical doctors, hospitals, and other healthcare providers who have covenanted with a insurer or a third-party administrator to provide healthcare at reduced rates to insurer’s or administrator’s clients. And a indemnity insurance program is an insurance program that aims to protect business owners and employees when they are found to be at fault for s specific event such as misjudgment.
Here are the advantages and disadvantages of HMO and PPO:
The advantages of an HMO is that their health plans have lower health premiums for both the employer and the employee. Another advantage is that there is no deductible for the patient. The only thing that is required is the prescribed co-payment for services that may run between $15 and $20 a visit. In addition, the co-payment for outpatient and hospitals services is substantially reduced as well in comparison to a regular PPO health plan. The main disadvantage for HMO plans is the fact that you can only go to a prescribed list of doctors, if your physician is not listed on the plan, then you will have to obtain special permission to pay a higher proportion of
Cooper-Pearson Sports Marketing
Keller Graduate School of Management
July 17, 2013
You Decide Project
My research paper will discuss HMO and PPO by contrasting and comparing, as well as indemnity insurance program. Also I will discuss which of these three managed care programs is the best service for Cooper-Pearson. And will answer the following questions; (1).Discuss the importance of managed-care physician credentialing, (2). Explain the benefits of a prescription drug program to the employer and the employee, and (3). Explain the importance of quality- management indicators in managed-care programs.
First of all, before we make the decision on which of these managed-care organizations is a better service for …show more content…
A PPO (Preferred Provider Organization) is a managed care organization of medical doctors, hospitals, and other healthcare providers who have covenanted with a insurer or a third-party administrator to provide healthcare at reduced rates to insurer’s or administrator’s clients. And a indemnity insurance program is an insurance program that aims to protect business owners and employees when they are found to be at fault for s specific event such as misjudgment.
Here are the advantages and disadvantages of HMO and PPO:
The advantages of an HMO is that their health plans have lower health premiums for both the employer and the employee. Another advantage is that there is no deductible for the patient. The only thing that is required is the prescribed co-payment for services that may run between $15 and $20 a visit. In addition, the co-payment for outpatient and hospitals services is substantially reduced as well in comparison to a regular PPO health plan. The main disadvantage for HMO plans is the fact that you can only go to a prescribed list of doctors, if your physician is not listed on the plan, then you will have to obtain special permission to pay a higher proportion of