Week 4 midterm
A)
Briefly discuss the history of health
maintenance organizations (HMOs) and provide examples of HMOs.
B)
Explain the role of physicians and hospitals in
HMO plans.
C)
Discuss the provisions of the Patient Protection
and Affordable Care Act (PPACA).
D)
Define pay-for-performance (P4P), and explain
how P4P is used to improve the quality of healthcare delivery.
E)
Discuss claims capability and the four core
competencies
Categories: