Financial and Health Insurance Matrix

HCS/235 v13

Financial and Health Insurance Matrix

HCS/235 v13

Page 2 of 2

 

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Financial and Health Insurance Matrix

Understanding the various models of health insurance in the U.S. is essential in helping you develop foundational health care knowledge as you progress through the course and for your future role as a health care employee. The following matrix is designed to 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. Ensure that your response is 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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