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Chapter 7Health Maintenance Organizations 1998-2025

1998-2025 Form

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[Music] welcome to chapter 7 of essentials of healthcare finance managed care so in this chapter we're going to discuss mcos and hmos preferred provider organizations physician organizations physician hospital organizations capitation medical service organizations consumer directed health plans and ids's which are all terms and acronyms that are used freely in today's health care arena these terms often represent different things to different people and often change in meaning over time one common thread that runs through all of these terms is that the issue of change in market reform that is sweeping the healthcare industry our focus in this chapter will be primarily on the development of managed care plans and the development of required premium payments for health care coverage the major types of health plans are described and their growth over the last 20 years has been tracked differences between plant types are described relative to their impact upon subsc

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