Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 1
Lecture:The history of the health insurance industry in the U.S.
Slide content:State-Licensed Insurance Organizations - 2 Managed Care Organizations Combine health insurance and health care services Cost control and utilization control Some hire their own doctors and have their own facilities 3 main types: Health maintenance organizations (HMOs) Preferred provider organizations (PPOs) Point-of-service (POS) plans 21
Slide notes:Managed care organizations are the third type of state-licensed insurance organizations. These companies combine health insurance benefits with the actual delivery of health care services. They impose tight controls on costs and use of services, and some have their own doctors and facilities. The three main types of managed care organizations are : health maintenance organizations, or HMOs; preferred provider organizations, or PPOs; and point-of-service, or POS plans. Managed care organizations will be discussed in more detail in a later lecture. 21