Matching
Match the following:
Premises:
The type of managed care plan that contracts with two or more multispecialty group practices to form a provider network
The type of health maintenance organization (HMO) that does not require a referral from a PCP to see a specialist
The type of managed care plan that contracts with a multispecialty group to provide services to enrolled members
The type of insurance that offers protection for large medical expenses beyond the coverage of routine healthcare
The type of managed care plan that combines the features of health maintenance organization (HMO) and preferred provide organization (PPO) plans
A type of HMO in which the MCO contracts with individual physicians and facilities to build the provider network
The type of insurance that covers both medical and custodial services
The type of plan that pays benefits only for services provided by network providers but does not have a health maintenance organization (HMO) license
The type of managed care plan in which members have financial incentives, such as lower copayments, when they obtain care from network providers
The type of managed care plan that hires the physicians and pays their salaries
Responses:
individual practice association (IPA) health maintenance organization (HMO)
preferred provider organization (PPO)
exclusive provider organization (EPO)
long-term care insurance
major medical insurance
The type of managed care plan that contracts with a multispecialty group to provide services to enrolled members
network model health maintenance organization (HMO)
point-of-service (POS) plan
open access health maintenance
staff model health maintenance organization (HMO)
Correct Answer:
Premises:
Responses:
The type of managed care plan that contracts with two or more multispecialty group practices to form a provider network
The type of health maintenance organization (HMO) that does not require a referral from a PCP to see a specialist
The type of managed care plan that contracts with a multispecialty group to provide services to enrolled members
The type of insurance that offers protection for large medical expenses beyond the coverage of routine healthcare
The type of managed care plan that combines the features of health maintenance organization (HMO) and preferred provide organization (PPO) plans
A type of HMO in which the MCO contracts with individual physicians and facilities to build the provider network
The type of insurance that covers both medical and custodial services
The type of plan that pays benefits only for services provided by network providers but does not have a health maintenance organization (HMO) license
The type of managed care plan in which members have financial incentives, such as lower copayments, when they obtain care from network providers
The type of managed care plan that hires the physicians and pays their salaries
Premises:
The type of managed care plan that contracts with two or more multispecialty group practices to form a provider network
The type of health maintenance organization (HMO) that does not require a referral from a PCP to see a specialist
The type of managed care plan that contracts with a multispecialty group to provide services to enrolled members
The type of insurance that offers protection for large medical expenses beyond the coverage of routine healthcare
The type of managed care plan that combines the features of health maintenance organization (HMO) and preferred provide organization (PPO) plans
A type of HMO in which the MCO contracts with individual physicians and facilities to build the provider network
The type of insurance that covers both medical and custodial services
The type of plan that pays benefits only for services provided by network providers but does not have a health maintenance organization (HMO) license
The type of managed care plan in which members have financial incentives, such as lower copayments, when they obtain care from network providers
The type of managed care plan that hires the physicians and pays their salaries
Responses:
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