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Insurance companies hate indemnity plans. healthinsurancequotes Good HMO candidates: people who are young and in good health (especially those planning to marry and/or start a family); families with children; older people (who tend to see doctors healthinsurancequotes frequently, who don''t want to physically travel to different specialists and who like one-stop shopping); and those on a tight budget are all bad HMO candidates: People who can''t or who are unwilling to give up medical relationships healthinsurancequotes with doctors outside their HMO. Preferred provider organizations were established as a compromise between indemnity plans and HMOs. PPOs provide managed care but also meet consumer demand healthinsurancequotes for control over whom you see and where you get your services. A "National Health Board" would identify a uniform minimal benefit package, certify plans that offer tax-deductible coverage through "accountable health plans" (AHPs), develop standards and guidelines for "health plan purchasing cooperatives" (HPPCs)--more recently termed "Health Alliances"--and establish a national health outcomes database essential for effective competition between AHPs. Within today''s health care system, a wide range of models exist and are frequently only referred to by acronym. This "alphabet soup" adds to the confusion and frustrations consumers encounter when attempting to "wade through" the health care system. A brief list of commonly used terms or acronyms and their meanings follows.HMO (health maintenance organization)--A health plan that contracts with providers for prepaid, comprehensive care for its members. Members are required to obtain care from providers healthinsurancequotes within healthinsurancequotes the HMO. Different models for HMOs include the group model, the IPA model, the network model, and the staff modelPPO (preferred provider organization)--A health plan that allows members to freely choose providers, but the insurance healthinsurancequotes builds in financial incentives for members to select providers within a specific system or group FFS (fee for service)--A traditional system in which the insurer pays for services after they are received, based upon the provider''s fee schedule. Consumers have the freedom to seek care without prior healthinsurancequotes and healthinsurancequotes approval from any provider, including specialists. ©2003 www.eparamounthealthcare.com. All rights reserved. |