Commercial Insurance, Workers’ Compensation, and Other Payers

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Commercial Insurance, Workers’ Compensation, and Other Payers Worksheet

HCR/202 v6

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Commercial Insurance, Workers’ Compensation, and Other Payers Worksheet

Complete Parts A and B of this worksheet.

Part A:

Resources: Medical Insurance: A Revenue Cycle Process Approach (7th ed.) and the U.S. Treasurer’s Office website.

Refer to Table 8.1 and Table 8.2 in Ch. 8 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.).

Review the U.S. Treasurer’s Office website

Select 5 to 6 Private Payer Plans or Consumer-driven Health Plan (CDHP)

· Preferred Provider Organization (PPO)

· Health Maintenance Organization (HMO)

· Group HMO

· Association of Independent Healthcare Organizations (AIHO)

· Point-of-Service (POS)

· Indemnity

· CDHP

· Health Reimbursement Account (HRA)

· Flexible Savings Account (FSA)

Complete the table below for the selected plans.

Private Payer Plans or Consumer-driven Health Plan (CDHP)	Write a 75-150-word response identifying and discussing two to three main features for each selected plan.

Part B:

Refer to Ch. 12 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.).

Review the U.S. Department of Labor website

Write a 150- to 350-word response to each of the following questions. Be clear and concise, use complete sentences, and explain your answers using specific examples.

1. Describe the features of the four federal workers compensation plans and the two types of state workers compensation benefits.

2. Why is it necessary to have both federal and state compensation plans?

Cite any outside sources. For additional information on how to properly cite your sources, utilize the Reference and Citation Generator resource.