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DPT772: HEALTH CARE ECONOMICS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED CA$14.46   Add to cart
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DPT772: HEALTH CARE ECONOMICS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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DPT772: HEALTH CARE ECONOMICS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Deductible the amount the individual must pay each year before the health care plan begins to pay Co-Insurance proportion of the cost paid by the individual after the deductible has been met, with the rema...

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  • November 13, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • dpt772 health care economics exam questions and a

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DPT772: HEALTH CARE ECONOMICS EXAM QUESTIONS AND

ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

Deductible

the amount the individual must pay each year before the health care plan begins to pay

Co-Insurance

proportion of the cost paid by the individual after the deductible has been met, with the

remainder paid by the insurer

Co-Pay

set fee each time services or drugs are bought

Premium

a set fee, usually paid monthly to be covered by the insurance

HMO (Health Maintenance Organization)

individual pays co-pay per each service



- organization that provides for the overall health care of a defined population of

enrollees under the closed-panel model

- provides services to maintain health along with usual medical necessary care in case

of illness or injury

- enrollees must see their assigned primary care physician

- primary care physician (gatekeeper) is responsible for allocating medically necessary,

health care resources, such as access to specialists, including physical therapists,

special tests, and so on, and coordination of enrollees care

, - care is provided only by a specific group of providers, that is, a closed panel

- payment is a fixed amount paid monthly per member (per member per month fee

PMPM)

- PT is a specialty service that is available through referral from a patient's primary care

physician

PPO (Preferred Provider Organization)

consists of a deductible and co-insurance



- preferred provider plan

- offers a choice of providers

- managed care plan that allows enrollees to seek care from a variety of approved

providers

- usually pays a discounted FFS

- may be closed panel

Catastrophic Insurance

a type of accident insurance designed to provide lifelong medical, rehabilitation, and

disability benefits for a victim of devastating injury

Health Savings Account (HSA)

a tax-free savings account—funded by employees, employer, or both—to spend on

routine medical costs. Usually combined with a high-deductible policy to pay for

catastrophic care

Flexible Spending Account (FSA)

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