ANT 373 Study Guide - Final Guide: Health Maintenance Organization, Triple Option, Stick Figure

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22 Nov 2016
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Patients seek their own source of care. Get reimbursed for the cost of care. Member pays 20% of care costs, insurance covers 80% Employer works with insurance companies, passes on employee"s healthcare costs. Kaiser construction needed a doctor for their workers during a long project in 1932. Hired dr. sidney garfield to build a hospital. Kaiser paid . 50 per month per employee, and. Declared unethical even though most doctors and patients liked it. Must meet 3 reqs to be eligible for fed support: offer a specified list of benefits to all members, charge all members the same monthly premiums regardless of their health status, structured as a non-profit organization. Offered fed subsidies for the establishment of new hmos. Defined minimum standards to be certified as a fed qualified. Required all employers who offer health insurance to offer an hmo as an option when it was available.