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List and explain the differences among HMOs, PPos, EPOs and POSs.
What are the advantages and disadvantages of managed Medicaid for patients and providers?
Explain the concept of capitation and its relevance to managed care
How are managed care plans reimbursed? What are the implications for hospitals and ambulatory acre center’s?
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Running head: TOPIC
1
Discussion 8
Name
University affiliation
TOPIC
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Discussion 8
Health Maintenance Organization (HMO) has lower cost sharing compared to plans with
minimal network limitations. HMO require primary care provider referrals and does not pay for
care out of network except in an emergency case. Preferred Provider Organization, PPO, is a
health plan with a preferred network of providers in an area. Exclusive Provider Organization
(EPO) is a plan that has ...
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