Answered

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Question 1:

Under what system do a group of doctors and hospitals in a designated area contract with an insurer to provide services at a prearranged cost to the insured?

A. HMO
B. PPO
C. EPO
D. PLOHSO


Sagot :

Final answer:

Health Maintenance Organizations (HMOs) involve designated providers offering services at prearranged costs within a specific network, overseen by a primary care physician.


Explanation:

Health Maintenance Organizations (HMOs) are a type of health insurance plan where a group of doctors and hospitals in a designated area contract with an insurer to provide services at a prearranged cost to the insured. This system emphasizes managing the health of patients within a specific network of providers. The primary care physician acts as a gatekeeper for referrals to specialists, controlling unnecessary visits and costs.


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