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Which of the following is paid a fixed amount per member per month for contracted health care services in a geographical area to voluntarily enrolled group of people? A) PPO B) Workers' Compensation C) HMO D) Managed Care

User Malcook
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Answer:

The correct answer is C) HMO. HMO stands for Health Maintenance Organization.

Step-by-step explanation:

Here's why:

1. Definition: An HMO is a type of managed care health insurance plan that provides healthcare services to a voluntarily enrolled group of people. It operates on a prepaid basis, meaning that the members pay a fixed amount per month, known as a premium, regardless of the amount of services they use.

2. Contracted health care services: HMOs have agreements with a network of healthcare providers, including doctors, hospitals, and specialists. These providers agree to offer their services to HMO members at discounted rates in exchange for a steady stream of patients. HMO members are required to receive their healthcare services from the providers within the HMO's network.

3. Fixed amount per member per month: HMOs typically charge a fixed amount, called a capitation fee, per member per month. This fee covers a range of healthcare services, including preventive care, diagnostics, and treatment. The fee remains the same regardless of the level of services used by individual members.

4. Geographic area: HMOs operate within specific geographical areas. They establish their networks of healthcare providers in a particular region to ensure that members have access to care within a reasonable distance from their residence.

By paying a fixed amount per member per month for contracted health care services in a specific geographic area, HMOs aim to provide comprehensive and cost-effective healthcare to their enrolled members.

User Ramya Ramachandran
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