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
  1. Group arrangement
  2. Vertical HMO arrangement
  3. Tiered System
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2
Q

what are the 3 group arrangements?

A
  1. Multi-specialty group (Mayo Clinic)
  2. Community Health Centers
  3. Prepaid group practices (Kaiser)
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3
Q

What are the 2 vertical HMO group arrangements?

A
  1. Staff model HMO

2. Group model HMO

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4
Q

what is a vertical HMO?

A

single organization that includes physicians, labs, hospitals

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5
Q

What are the two arrangements under tiered system?

A
  1. IPA (Independent practice association?)

2. Integrated group practice

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6
Q

what is distinctive about a tiered system?

A

hospitals and physicians are separate

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7
Q

How does the private physician and the PPO get paid generally?

A

fee for service

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8
Q

How do physicians typically get paid under the group plans?

A

salaried

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9
Q

Tiered system payment…

A

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