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In times past physicians in private practices billed indemnity insurance plans and professional services were reimbursed on a fee for services basis
Ross-Loss medical group America's oldest privately owned prepaid medical group started in Texas
The health maintenance organization act of 1973 required most employers to offer HMO coverage to their employees as an alternative to traditional health insurance
In certain managed care plans there in an incentive for the gatekeeper to limit patient referrals to specialists
If a primary care physician sends a patient to a specialist for consultation who is not in the managed care plan the specialist may bill the primary care physician for payment
The term "turfing" means to transfer the sickest high cost patient to another physician so that the provider appears as a low utilizer
In a point of services program (POS) members may choose to use a nonprogram provider at any time
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