177k views
3 votes
How are paid-in capital and retained earnings different in for-profit health care organizations?

User Ti Wang
by
7.6k points

1 Answer

6 votes

Final answer:

The chief distinction between fee-for-service healthcare and HMOs concerns the reimbursement model used for healthcare providers; fee-for-service charges for each service, while HMOs pay a set fee per patient. Fee-for-service is more susceptible to adverse selection.

Step-by-step explanation:

The key difference between a fee-for-service healthcare system and a system based on health maintenance organizations (HMOs) lies in the reimbursement model. In a fee-for-service system, healthcare providers get paid based on the individual services they provide to a patient. In contrast, HMOs pay providers a fixed amount per patient, incentivizing the efficient allocation of resources among patients as the provider handles the care for a set number of individuals regardless of the individual services provided.

Moreover, fee-for-service systems are subject to adverse selection, where insurance companies may end up insuring more high-risk individuals because low-risk parties may avoid overpriced insurance plans. This makes the fee-for-service model prone to issues around incentivizing all parties to be insured, as higher costs discourage those with lower risks from participating in the insurance pool.

User Naveen Kumar Alone
by
7.7k points