LER425 Managed Care Benefit Plans

Managed care benefit plans are increasing in popularity in recent years, and the most typical managed care plans are HMOs and PPOs.

  • Define each type of managed care plan.
  • Compare and contrast
    • how providers are paid by each plan.
    • flexibility of each plan in terms of choosing a health care provider in and out of network.
    • usage of gatekeepers.
  • If you had to choose one of these types of plans for your own benefits coverage, which would you choose and why?