Question

Of the different types of managed care organizations given, which do you believe is the most effective? You can give your answer in terms of resource use, costs, quality of care, patient satisfaction, etc. Be sure to give four specific reasons for your answer.

Answer 1

There are four essential kinds of oversaw mind designs that fall under the umbrella of "MCOs."

• Health Maintenance Organizations (HMOs)
• Preferred Provider Organizations (PPOs)
• Exclusive Provider Organizations (EPOs)
• Point-of-Service Plans (POS)

Health maintenance organization (HMO):

By a long shot the most widely recognized write, HMOs apparently center around health (e.g., by accommodating yearly physical examinations). Individuals (who are protected) pay a settled yearly premium as an end-result of medicinal services get to that is restricted to the HMO's system of doctors and healing facilities. Therapeutic care is likewise constrained to a prearranged, extensive rundown of restorative administrations that will be given to the selected gathering all in all. Most HMOs expect patients to pick (from the HMO arrange) a doctor as an essential care supplier (PCP) who should first be counseled for any medicinal concern. The PCP, and not the patient, at that point chooses if the patient ought to counsel a master or get a moment feeling. This training (basic to most types of MCOs when all is said in done) is known as "door keeping."