Healthcare Services And Health Care Services Essay

819 Words Jun 11th, 2016 4 Pages
Researchers Journal of the Academy of medical scientist of Bosnia and Herzegovina Production of healthcare services are private physicians receive payments on a negotiated fee for service and hospitals receive global budget payments (Ridic, 2012). The third party payers control medical care costs by establishing total expenditure limits for medical services over a specified period of time. (Ridic, 2012)
These include physician ambulatory care provided by physicians in private practice, hospital care, home nursing care, a wide range of preventive services and even visits to health spas.
Managed care organizations are defined as systems that integrate the financing and delivery of appropriate health care services to covered individuals by means. Of arrangements with selected providers to furnish a comprehensive set of health care services to members. Explicit criteria for the selection of health care providers. Formal programs for ongoing quality assurance and utilization review and significant financial incentives for members to use providers and procedures associated with the plan. (Ridic, 2012)
Many uninsured people receive health care services through public clinics and hospitals, state and local health programs or private providers that finance the care through charity and by shifting costs to other payers. Unlike in Canada and Europe, where a single payer system is the norm, the United States possess a multiplayer system in which a variety of third party payers,…

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