عورت کو خوش کرنے کا سب سے بہتر طریقہ .. ویڈیو دیکھیں
Don’t look now, but HMOs seem to be getting a new lease on life.
Health maintenance organizations flourished in the 1980s and early 1990s. But a lot of patients saw them as burdensome – you typically needed a referral from your primary care doctor before seeing a specialist – and decried their lack of flexibility. Most of the time, policyholders were only covered when they visited a hospital or provider that was part of the network.
So began the exodus to preferred provider organizations, or PPOs, which offered access to out-of-network providers, albeit at a somewhat higher cost. And suddenly patients didn’t have to jump through hoops to visit specialists.
What’s New With HMOs
However, the past couple years have seen a resurgence in HMOs and other “closed network” plans, a shift that’s largely linked to the Affordable Care Act (ACA). One impact of the law was the implementation of a new type of network called accountable care organizations (ACOs).
The idea behind ACOs, most of which serve Medicare patients, is to reward physicians for providing better, not more, care. That means greater coordination between providers and, as with HMOs, a bigger role for the primary care physician.
However, seniors aren’t the only consumers seeing more of these closed network plans. The ACA also led to the creation of online exchanges for consumers buying an individual plan, which has fueled pricing wars among different insurers.
Plans that limit patients to certain physicians and hospitals are generally less costly to operate than PPOs, enabling companies to offer them at lower rates. Consequently, more carriers started offering HMOs and EPOs (exclusive provider organizations), another type of plan featuring a limited network of providers.
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