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Insurance & Risk Management
14. Chapter 16: Employee Benefits—Group Life and Health Insurance/Managed care plans
14. Chapter 16: Employee Benefits—Group Life and Health Insurance Illustration
Syllabus Slides

Managed care plans

01.Core Concepts

There are several types of HMOs: Under a staff model, physicians are employees of the HMO and are paid a salary or a salary and an incentive bonus to hold down costs Under a group model, physicians are employees of another group that has a contract with the HMO Under a network model, the HMO contracts with two or more independent group practices An individual practice association (IPA) is an open panel of physicians who work out of their own offices and treat HMO members at reduced fees, on a fee-for-service basis ‹#›