HMO
health maintenance organization
EPO
exclusive provider organization
PPO
preferred provider organization
solo practice
physician practices alone
associate practice
physician agree to share expenses of facility
sole proprietorship
one physician employ others
corporations
managed by a board of directors
third-party-payer
insurance company
medicaid
financial assistance for the indigent
medicare
financial assistance for the eldery
medicare patients who are members of HMOs may now,by law
appeal o denial of treatment
a type of managed care in which selection of providers is limited to a defined group who are all paid on a modified fee-for-service basis is
exclusive provider organization
a legal agreement in which physicians agree to share a facility and stuff but not the profits and losses is
associate practice
the advantage of a corporations is that it
offers protection from loss of individual assets
may offer fringe benefits
will remain in effect after the death of a member
a physician who is board certified may be addressed as
diplomat
fellow
MCOs are able to manage cost by
shifting some financial risk back to the physicians and hospitals
this federal legislation provides healthcare for indigent persons and is administered by individuals states
medicaid
the managed care system
has a gatekeeper to determine who will receive medical treatments
provides a mechanism for approval for all nonemergency services
provides care for fixed monthly fee
includes HMOs,PPOs,and EPOs
the american college of surgeons confers a fellowship degree upon its applicants
when they complete additional training
when they have a documentation of 50 surgical cases during the previous three years