Third party reimbursement for private practitioners has changed over time from a _____ health care system to a _____ health care system.

Question

Quizplus · Accepted Answer

Third party reimbursement for private practitioners has transitioned from a fee for service system, where providers are paid for each service provided, to a managed care system, where providers are paid a set amount for a patient's overall healthcare needs. This change was driven by rising healthcare costs and the need for cost containment. Managed care systems utilize techniques such as utilization review and capitation to manage costs and ensure that patients receive appropriate care. Preferred provider organizations (PPOs) and health maintenance organizations (HMOs) are types of managed care plans.

Third Party Reimbursement for Private Practitioners Has Changed Over Time