Advantages And Disadvantages Of Hmos

Decent Essays
1. HMOs covers most types of preventive care and specialist visits; but, specialist visits are only covered when your PCP makes a referral. Also, a small copayment fee for every medical visit. HMOs are usually best fitted for individuals and families that plan to see their primary care physicians on a regular basis. What is not covered, are abortion, contraceptives, acupuncture, and providers or hospitals not associated with Health Alliance, other than Emergency Services, is not covered. I do understand the terms and conditions of the

Related Documents

  • Improved Essays

    Human Resources Benefits can be defined as an indirect financial payment given to employees that may include health and life insurance, vacation, pension, educational plans, 401K etc. (Dessler, 2012). As an affiliate of HCA Holdings Inc., Palms West Hospital follows a basic template that is provided throughout the organization. Although minor details may be changed, the majority of the ways Palms West operate is through the guidelines that HCA Holdings Inc. provides. Employees who meet the minimum requirements are offered a contributory, otherwise known as a benefit plan (HCA Holdings Inc., 2016).…

    • 1078 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    The Congressional Budget Office has yet to release its evaluation of the bill Cassidy co-authored with Senator Lindsey Graham of South Carolina. Its reviews of earlier GOP bills in the House and Senate found that at least 22 million fewer people would have coverage by 2026, compared to current law. It's difficult to say exactly what the coverage losses would be under the Graham-Cassidy bill, experts say. That's largely because it would give a lot of control over health care to the states, while at the same time curtailing federal funding.…

    • 406 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The articles relate to the Affordable Care Act (ACA) and how many millions of individuals are enrolling to get health care coverage under the ACA thru the government insurance exchanges and how many more millions are returning to the exchanges to renew their coverage. Additionally, the uninsured rate had dropped in eight states because of the ACA, now that many people are qualifying for healthcare due to the Medicaid expansion. Even though millions of people have gotten healthcare coverage there are still millions of individuals that are uninsured and its mostly due to the fact that some states have not expanded their Medicaid coverage. Furthermore, even though many people have insurance to get heath care, now, the problem is obtaining quality…

    • 220 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    Obamacare Pros And Cons

    • 1093 Words
    • 5 Pages

    Since March of 2010, the American people have had to suffer under the incredible economic burden of the Affordable Care Act—Obamacare. This legislation, passed by totally partisan votes in the House and Senate and signed into law by the most divisive and partisan President in American history, has tragically but predictably resulted in runaway costs, websites that don’t work, greater rationing of care, higher premiums, less competition and fewer choices. Obamacare has raised the economic uncertainty of every single person residing in this country. As it appears Obamacare is certain to collapse of its own weight, the damage done by the Democrats and President Obama, and abetted by the Supreme Court, will be difficult to repair unless the next…

    • 1093 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The Affordable Care Act is one of the most talked about and debated subjects that our country has focused on for the past 6 years. The Affordable Care Act is a federal statute that was signed into law by President Barack Obama in 2010. This act was structured to help with hospitals and primary physicians which would transform their practices financially, technologically and clinically to drive better health care for individuals by lowering the costs and improve the methods of distribution and accessibility. By all accounts the initial reason for the ACA was to aid in increasing the availability for health insurance to those individuals that could not afford insurance. The act requires all insurance companies to cover all application within new minimum standards and offer the same rates regardless of preexisting continuous or what sex the individual is.…

    • 1011 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Sure Obamacare says you will have to have to choose a healthcare plan or pay a waiver fee. I think this is just fine because we have to provide car insurance in order to drive. No one is complaining about having to pay for car insurance in order to drive because it makes drivers and insurance companies responsible for your actions. The same theory applies to the new healthcare reform act. Sure Obamacare has some downsides and some upsides depending where you stand financially.…

    • 869 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    The health care system in America is very diverse with different races and cultural groups from a different part of the world. We also have a lot of vulnerable patients from low-income families and people of color; as nurses, we have the duty and responsibilities to advocate for these patients fairly with no discrimination to provide them with the care they need. The purpose of this discussion post is to describe ethical dilemma, health disparities and the current population health, discuss the pros and cons of health care reform and the Affordable Care Act and the principles of Social Justice and Human Rights Protection in the Reduction of Health Disparities. Ethical Dilemma associated with State of Population and Health Disparities An ethical…

    • 772 Words
    • 4 Pages
    Decent Essays
  • Improved Essays

    The Affordable Care Act (ACA) is a long, complex piece of legislation that attempts to reform the healthcare system by providing more Americans with affordable quality health insurance and by curbing the growth in healthcare spending in the U.S. Reforms which include new benefits, rights and protections, rules for insurance companies, taxes, tax breaks, and funding, spending, creation of committees, education, new job creation and more. This quote is simply stating that the ACA is here for the low income Americans, so they can receive the healthcare that they need without the stress of the high cost, Obtaining optimal care at a reduced price is one of the main intension of Obamacare which he feels everyone deserves. The main goal for the healthcare act is to promote healthy Americans. With this Act everyone can benefit from it greatly.…

    • 675 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The Affordable Care Act: Why the Premiums are Going Up, Why Insurance Companies are Backing out of it, and What Effects it has on the Economy The Affordable Health Care Act was passed in March, 2010; by former President Barack Obama. According to (Affordable Care Act-HealthCare.gov), “the act has 3 main goals, to make affordable health insurance available to more people, to expand the Medicaid program, and to support innovative medical care delivery methods designed to lower the costs of health care generally”. This research paper will discuss why the premiums are rising under the ACA, why insurance companies are backing out of the ACA, and what effects it has on our economy. The act is also referred to as “Obamacare” or “the Patient Protection…

    • 1729 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    The Affordable Care Act along with the Patient Protection are laws that was passed to insure that American citizens can afford an obtainable health care for them and or their families. March 23, 2010 was the day and year that President Barack Obama first initiated the two laws. So focusing more on the Affordable Care Act, the law is supposed to ensure that American citizens are able to have some form for of health coverage. By doing this Obama was intended to provide healthcare to broader variety of citizens. The Affordable Care Act, also known as ‘Obamacare’, is a series of benefit coverage and financial incentives and disincentives which was provided to attract a diversity of people.…

    • 575 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Patient Protection and Affordable Care Act, “Obamacare”, affects the healthcare industry and the way America delivers healthcare. The act focuses on providing more Americans with affordable, quality health insurance through reforms, taxes, regulations, and exchanges. The benefits are that more Americans have health insurance, it is more affordable to have, people with pre-existing conditions cannot be denied coverage, regulates the health insurance industry, reduces health care spending, and there are no set limits on the amount of money insurance companies can spend on an individual. The unfortunate cons to the PPACA is many people have to pay higher premiums, taxes are rising due to the ACA, you can be fined for not having health insurance, and some employers are cutting employees hours to avoid covering them.…

    • 495 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Managed Care Case Study

    • 728 Words
    • 3 Pages

    There are main types of managed care plans: HMO, PPO and point – of – service. Health maintenance organization provides its members health benefits where individual have to pay monthly premium in order to use the benefits. In order the benefits to be covered by HMOs (unless it’s an emergency service) the patient must use health provider within the network. Copay may or may not be require for visit to health service provider.…

    • 728 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    "The Affordable Care act (Obamacare) main focus is on providing more Americans with access to affordable health insurance, improving the quality of health care and health insurance, regulating the health insurance industry, and reducing health care spending in the US." Yet five years since the implementation of Obamacare, 30.1 million people lost there private insurance,because it did not meet the 10 essential health benefits. Another 3-5 million people will lose there company sponsored health insurance, since companies find it cheaper to pay the penalty than buying there employees health insurance. Also medications will become more expensive due too new taxes that will increase prescriptions for individuals. Americans will find it cheaper…

    • 1605 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Managed Care Disadvantages

    • 1092 Words
    • 4 Pages

    Managed care is the most prevalent form of health insurance plan that has significantly changed the ways that patients receive care and allowing them a variety of affordable care. Under managed care, health insurance plans have a contract with providers and hospitals to provide care for clients at lower cost. Clients who choose to enroll in a managed care plan should also be aware of both the benefits and the drawbacks of those care plans. Criticism/drawbacks Managed care health insurance plans, mostly the HMO 's, focus primarily on prevention, and people with these types of policies pay less for their coverage. The newest options in health insurance plans include the PPO (preferred provider organization) plans.…

    • 1092 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    This unique relationship often allows HMOs to maintain a lower cost of service from plan providers. Because the HMO is both a provider and an insurer, this allows for lower administrative cost to the patient. Preventive care is offered through HMO’s, this is a way they try to reduce cost, through early detection and wellness programs. Thus, inexpensive visits to the primary care physician the chance for early detection of costly diseases can be preventative.…

    • 1227 Words
    • 5 Pages
    Improved Essays