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5 Cards in this Set

  • Front
  • Back
Health care Laws
It defines the expected behavior of persons in the business of health care
Managed care System
Developed by private and other public health care systems
Pays for health care at a prearranged rate rather than as billed
Goal is to offer cost-effective health care delivery

Health Maintenance Organizations (HMOs)
Preferred Provider Organizations (PPOs)
MCO
Managed Care Organizations Comprehensive care is seen by a primary care provider and focuses on prevention and health promotion.
PPO
Preferred Provider Organizations
The patient chooses from a list of contracted providers.
EPO
Exclusive provider Organizations
The patient chooses from a list of providers within a contracted organization