Physician Hospital Organization: Cost-Effective Healthcare Provision
What is it called when physicians, hospitals, and other healthcare providers contract with HMOs or employers to provide care?
A) Health maintenance plan
B) Physician hospital organization
C) Fee-for-service plan
D) Indemnity plan
Answer:
Physicians, hospitals, and other healthcare providers contracting with HMOs or employers to provide care is known as a Physician Hospital Organization (PHO), which focuses on cost-effective healthcare provision.
When physicians, hospitals, and other healthcare providers contract with one or more HMOs or directly with employers to provide care, it is known as a Physician Hospital Organization (PHO). This setup allows healthcare providers to manage the care of patients more efficiently and often involves a structure where providers receive a fixed payment per patient. Unlike a fee-for-service or indemnity plan, a Physician Hospital Organization encourages the provision of care in a cost-effective manner, aiming to reduce the instances of unnecessary or excessive treatments.