Essay On Continuum Of Managed Care

The Continuum of Managed Care is a service that is provided to patients as well as a system to track the outcome of patient healthcare at all levels. “The Continuum of Care covers the delivery of healthcare over a period of time, and may refer to care provided from birth to end of life. Healthcare services are provided for all levels and stages of care.” (HIMSS) The main two types of traditional health insurance is the indemnity insurance and the service plans. Indemnity Insurance protects the patient from financial burden. It is very important that the patient know what the restriction are listed in the policy. Originally the coverage was only for illness. Prescription drugs and wellness was not covered. During the late 1980s and the …show more content…
In service plans the provider had to agree to the terms as well as sign a contract. Under the plans the provider would be reimburse for his or her services directly. This would alleviate any collection issues with the patients. The money that would be paid to the provider would be stated in the plan. Even though the service may cost more the bill would be considered paid in full other than any deductions that the patient was required to pay. Under this plan at any time the provider’s records could be audit. The patient must see a provider that was contracted in order not to receive a bill that was denied under the plan. PPO and HMO are normally the health insurance that is provided for employees through their employer. “A PPO plan offers a network of healthcare providers to choose from, and you have the freedom to receive care from any in- or out-of-network doctor, specialist or hospital without a referral – even when you travel. Keep in mind, however, that your out-of-pocket medical costs are lower when you choose an in-network provider.” (Humana) Since there is so much flexibility with the Preferred Provider Organization (PPOs) this