Soc Week 9

Front 1

Group model HMO

Back 1

HMO contracts with one more than one medical practice

Front 2

Gag Rule

Back 2

Clause in managed care contract that prohibits provider from discussing coverage etc..by the plan

Front 3

Joint venture

Back 3

Multiple Organizations share resources to create a new organization to pursue a commom purpose

Front 4

Diversification

Back 4

Addition of new services that the organization has not offered before.

Front 5

Any willing provider

Back 5

Law preventing the exclusion of an MD from a managed care plan when he meets the criteria

Front 6

Vertical Integration

Back 6

Growth stragedy linking of services that are in different stages in the production process of health care

Front 7

Antitrust

Back 7

Federal and State laws that make it illegal to forma system that stifles competition

Front 8

PPO

Back 8

Type of MCO that has a panel of preferred providers paid acording to their discounting fee schedule

Front 9

Virtual Integration

Back 9

Type of intergrated based on contractual aggreements rather than actual merging inot one company

Front 10

Allience

Back 10

Joint agreement between organizations to share resources without joint ownership of resources

Front 11

PSO

Back 11

Quasi- MCO where the risk is borne by MD's & Hospitals to compare with MCO's

Front 12

Horganizational integration

Back 12

Growth stredegy in which core product or services are extended, often geographically

Front 13

Merger

Back 13

Unification of two or more organizations into one through mutual agreement

Front 14

IPA Model

Back 14

HMO contracts with more than one medical group practice

Front 15

Acquisition

Back 15

Purchase of one organization by another