Comparison Hmos and Ppos
Running Head: COMPARISON HMOS and PPOS PAPER 1
COMPARISON HMOS and PPOS PAPER
Eve Birdine-Epps
MHA628: Managed Care & Contractual Services
Instructor: Gary Hanney
December 4, 2012
COMPARISON HMOS and PPOS PAPER 2
Introduction
The transformation of medical marketplace has major implications between two surging managed care plans. Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) examine research gaps, tradeoffs between financial and administrative barriers, and participation has fueled undesirable outcomes for both plans. Furthermore, employers, consumers, and providers seem to know what it is they do not want from their managed care plans, the options they have within these plans are not always clear. Evidence suggests that a comparison of two managed care plans can be utilized when examining health care benefits. “It is also related to the fact that PPO participation growth resulted from flight from the undesirable features of the HMO and widespread skepticism about the value of managed care, rather than from a migration to the attractive features of the PPO.” (Hurley, Strunk, and White, 2004) It focuses on the design of these two managed care plans Health Maintenance Organizations (HMO), and Preferred Provider Organizations (PPO). This article with describe the similarities and differences between these two managed care plans. The reasons that impact the decisions made to choose any particular health care plan. In addition, there are significant differences between HMOs and PPOs and the plans they offer, controlling for organizational and community factors, characteristics of health care plans, and human resources (HR) managers control costs. The article will promote innovations, discuss provider incentives, and facilitate patient satisfaction practices.
COMPARISON HMOS and PPOS PAPER
Eve Birdine-Epps
MHA628: Managed Care & Contractual Services
Instructor: Gary Hanney
December 4, 2012
COMPARISON HMOS and PPOS PAPER 2
Introduction
The transformation of medical marketplace has major implications between two surging managed care plans. Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) examine research gaps, tradeoffs between financial and administrative barriers, and participation has fueled undesirable outcomes for both plans. Furthermore, employers, consumers, and providers seem to know what it is they do not want from their managed care plans, the options they have within these plans are not always clear. Evidence suggests that a comparison of two managed care plans can be utilized when examining health care benefits. “It is also related to the fact that PPO participation growth resulted from flight from the undesirable features of the HMO and widespread skepticism about the value of managed care, rather than from a migration to the attractive features of the PPO.” (Hurley, Strunk, and White, 2004) It focuses on the design of these two managed care plans Health Maintenance Organizations (HMO), and Preferred Provider Organizations (PPO). This article with describe the similarities and differences between these two managed care plans. The reasons that impact the decisions made to choose any particular health care plan. In addition, there are significant differences between HMOs and PPOs and the plans they offer, controlling for organizational and community factors, characteristics of health care plans, and human resources (HR) managers control costs. The article will promote innovations, discuss provider incentives, and facilitate patient satisfaction practices.
References: Donelan, K., Blendon R.J., Lundberg, G. D., Calkins, D. R., and et al. (September/ October 1997). The new medical marketplace: Physicians ' views. Health Affairs 16 (5), 139-148. Eisenberg, B., and Romero, L. (September/October 2010). Restoring the Health of Scholarly Publishing. Academe 96 (5), 38-43,45. Hurley, R. E., Strunk, B. C., and White, J. S. (March/April 2004). The Puzzling Popularity Of The PPO. Health Affairs 23(2), 56-58. Mark, T., and Mueller, C. (Winter 1996). Access to care in HMOs and traditional insurance plans. Health Affairs 15(4), 81-87. Reddick, C. G. (Fall 2007). Comparing Public and Private Choices of Managed Health Care Plans: Rhetoric versus Reality. Public Personnel Management 36(3), 223-245.