Chapter 9

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4 Terms

1
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What is a fee for service

traditional health insurance plan that paid a fee for a provided service by the provider, the system increased the costs of healthcare.

2
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What is managed care?

cost management of health care services utilization by controlling who the consumer sees and how much the service costs.

3
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What are Health Maintenance Organizations?

oldest type, members must see their primary care provider first in order to see a specialsit.

4
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What are Preferred Provider Organizations?

do not have a gatekeeper, members do not need a referral to see a specialist.