Transcription of TABLE OF CONTENTS - Patient Advocate
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TABLE OF CONTENTS - Patient Advocate
TABLE OF CONTENTSINTRODUCTION..2 PART I: UNDERSTANDING managed care TERMINOLOGY..2 Description of managed care ..2 managed care Organizations ..3 Common Definitions for Types of managed care ..4 managed care Payment Methods ..5 Specific Features of Health Maintenance Organizations ..6 HMO Organizational Models..7 Glossary of managed care Definitions ..7 PART II: A CONSUMER GUIDE TO SELECTING AN INSURANCE PLAN..15 Navigating Your Plan ..16 Evaluating managed care Plans ..17A. Benefits Offered or Covered Services ..17B. Cost vs. Benefits ..19C. Services of the Primary care Physician ..19D. Prescription Drug Benefits ..21E. Provider Network and Geographic Service Area ..21F. Commitment to Quality of care and Service.
Hospitals, physicians, laboratories, and clinics comprise the managed care provider organization. “Center of Excellence” is a designation assigned by managed care
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