What is the percentage of HMO penetration of your state?

Exercises

 

 

 

Go to the website: http://www.statehealthfacts.org and click Health Insurance &

 

Managed Care.    Answer the following questions:

 

 

 

1. What is the percentage of HMO penetration of your state?

 

 

 

2. What is the percentage of HMO penetration of a neighboring state?

 

 

 

 

 

3. What is the percentage of HMO penetration for the United States?

 

 

 

 

 

4. How do these percentages compare?

 

 

 

 

 

Check Your Understanding

 

1. How does a member of an MCO plan obtain coverage for an oncologist?

 

 

 

 

 

2. List three types of care delivered by MCOs.

 

 

 

 

 

3. _____________________ supported by MCOs stress the habits of healthy lifestyles, such as exercise and proper nutrition.

 

 

 

 

 

4. Which type of integrated delivery system is most common, and what types of providers may be included?

 

 

 

 

 

5. List the four types of integration models.

 

 

 

 

 

6. Name two ways that practices having integrated structures that lower their overhead costs.

 

 

 

 

 

 

 

7. Share a news story about managed care in your state or in the nation. Categorize the story as a positive, negative, or neutral portrayal of managed care.

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