Health Insurance Matrix

HCS/235 v12

Health Insurance Matrix

HCS/235 v12

Page 2 of 2

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Health Insurance Matrix

As you learn about health care delivery in the U.S., it is necessary to understand the various models of health insurance to develop important foundational knowledge as you progress through the course and for your role as a future health care employee. The following matrix is designed to help you develop that knowledge and help you understand how health care is financed and how health insurance influences patients and providers.

Complete the matrix. In each box, describe the model in your own words. Your response should be between 150 and 300 words. Consider the following as you complete the matrix:

· How is the care paid or financed when this model is used?

· What is the structure behind this model? Is it a gatekeeper, open-access, or combination of both?

· What are the benefits for providers who use this model?

· What are the challenges for providers who use this model?

Model

Describe the model in your own words (150- to 300-words for each response).

Health Maintenance Organization (HMO)

Preferred Provider Model

Point-of-Service Model

Provider-Sponsored Organization

High-Deductible Health Plans and Savings Options

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