PUBH 6012 Policy Exam 2 Questions and Answers |Complete Solutions Graded
A+ |100% Correct
what does EMTALA not require? - care to be provided for free at a low cost
- medical treatment beyond stabilizing treatment
- treatment of inpatients, even with emergency medical condition
two major kinds of managed care plans HMO and PPO
HMO (acronym) health maintenance organization
PPO (acronym) preferred provider organization
POS (acronym) point of service plans
HMO features lowest cost, most restrictive, patients must use provider network and
gatekeepers
PPO features lower cost in network, more choices, no gatekeeper and patients may use in or
out of network providers; most popular choice currently
POS features hybrid of HMO and PPO plans
pros of managed care - May provide more plan choices for employee
- Incentives for reduced unnecessary care
- May lower cost
- Quality controls, quality improvement
- Coordinated care
A+ |100% Correct
what does EMTALA not require? - care to be provided for free at a low cost
- medical treatment beyond stabilizing treatment
- treatment of inpatients, even with emergency medical condition
two major kinds of managed care plans HMO and PPO
HMO (acronym) health maintenance organization
PPO (acronym) preferred provider organization
POS (acronym) point of service plans
HMO features lowest cost, most restrictive, patients must use provider network and
gatekeepers
PPO features lower cost in network, more choices, no gatekeeper and patients may use in or
out of network providers; most popular choice currently
POS features hybrid of HMO and PPO plans
pros of managed care - May provide more plan choices for employee
- Incentives for reduced unnecessary care
- May lower cost
- Quality controls, quality improvement
- Coordinated care
