Health Insurance Program design alternatives
3 Describe fee-for-service plans, traditional managed care approaches, and more recent consumer-driven approaches to providing health care coverage.
Employers usually enter into a contractual relationship with one or more insurance companies to provide health-related services for their employees and, if specified, employees’ dependents. An insurance policy refers to a contractual relationship between the insurance company and the beneficiary. The insurance policy specifies the amount of money the insurance company will pay, for such particular services as physical examinations. Employers pay insurance companies a negotiated amount, or premium, to establish and maintain insurance policies. In this ...
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