Health Care Organization Flashcards
1
Q
Aside from the private practice physician and the preferred provider organization, what are the 3 types of health care arrangements?
A
- Group arrangement
- Vertical HMO arrangement
- Tiered System
2
Q
what are the 3 group arrangements?
A
- Multi-specialty group (Mayo Clinic)
- Community Health Centers
- Prepaid group practices (Kaiser)
3
Q
What are the 2 vertical HMO group arrangements?
A
- Staff model HMO
2. Group model HMO
4
Q
what is a vertical HMO?
A
single organization that includes physicians, labs, hospitals
5
Q
What are the two arrangements under tiered system?
A
- IPA (Independent practice association?)
2. Integrated group practice
6
Q
what is distinctive about a tiered system?
A
hospitals and physicians are separate
7
Q
How does the private physician and the PPO get paid generally?
A
fee for service
8
Q
How do physicians typically get paid under the group plans?
A
salaried
9
Q
Tiered system payment…
A
…