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Chapter 16: Problem 16

What is the key difference between a fee-for-service healthcare system and a system based on health maintenance organizations?

Short Answer

Expert verified
The key difference between a fee-for-service healthcare system and a system based on health maintenance organizations (HMOs) is the payment model and focus on care provision. Fee-for-service systems pay providers for each individual service, with no emphasis on overall patient health, while HMOs charge a fixed monthly fee and focus on comprehensive, preventive care for their members.

Step by step solution

01

Understand Fee-for-Service Healthcare System

A fee-for-service healthcare system is a model where healthcare providers are paid for each individual service they perform for patients. This includes consultations, treatments, and procedures. Under this system, providers may choose the services they offer and the patient, or their insurance company, pays accordingly.
02

Understand Health Maintenance Organizations (HMOs)

A health maintenance organization (HMO) is a type of healthcare system that focuses on providing comprehensive care to its members through a network of physicians and healthcare facilities. The members pay a fixed monthly fee, and in return receive a wide range of medical services from their provider network. HMOs often emphasize preventive care to reduce the risk of costly treatments down the road.
03

Identify the Key Difference

The key difference between a fee-for-service healthcare system and a system based on health maintenance organizations (HMOs) lies in the payment model and the focus on care provision. In a fee-for-service system, providers are paid for each individual service performed, with no emphasis on the overall health of the patients. On the other hand, HMOs charge a fixed monthly fee and focus on providing comprehensive care with an emphasis on preventive measures for their members.

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