Health Care Finance Models
blessing432
HCA-515-RS-Health-Care-Finance-Models.docx
A COMMUNITY OF LEARNERS’ 6
There are two broad approaches to financing health care: a market-based approach and a government-financed approach. Answer the 12 questions, providing 3-4 sentences minimum for each approach.
Include any references used at the end of the chart.
|
|
Market-based (HMO, POS, PPO, etc.) |
Government-financed (Medicare, Medicaid, Tricare, etc.) |
|
Who is provided access? |
|
|
|
How much coverage is provided? |
|
|
|
How are the services paid for? |
|
|
|
How does reimbursement apply? |
|
|
|
Are there limitations of care? |
|
|
|
What guides care decision for patients? |
|
|
|
What is the quality of services (use HEDIS website for answer)? |
|
|
|
Are there competitive options? |
|
|
|
How much are prevention and wellness emphasized and measured? |
|
|
|
How are health care costs managed and controlled? |
|
|
|
How are medical advances generated? |
|
|
|
How is health care reform established? |
|
|
© 2020. Grand Canyon University. All Rights Reserved.
2
