Question

Describe the principles of fee-for-service plans and managed care plans. What are the similarities and differences?

Answer 1

The service plan fee is based on the following:

Payment independently for all services rendered in the hospital.
Give patients the right to choose physicians, nurses, and services available.
After full service is rendered, payment shall be made to the service providers.

The Managed Care Plan:

Stresses restrictions on the choice of nurses and physicians.
Limits the budget to allow for an affordable and reliable service to the patient.
Managed health care organizations are responsible for supervising medical services financing.

The difference is the following:

Patients have the freedom to choose the doctor because of the service schedule fee. The managed treatment plan, on the other hand, can only be managed by the associated physicians.
The fee for the plan does not limit the services and the costs to be rendered. The managed care plan restricts the amount to be spent and only requires visits.
The service charge emphasizes customer satisfaction while the controlled care plan limits customers ' views through several surveys, as cost-effectiveness is the primary objective.
The following similarities are:

Both are payment plans for medical care.
Both offer payment options as well as anticipated services.