CASE STUDY

Case study

Case study

First, compare and contrast the differences between an HMO, a PPO, and an indemnity insurance program.

HMOs are prepaid health plans. As a member of an HMO, you pay a monthly premium. The system completely eliminates the traditional HMO share of the medical service in which doctors are paid per patient visit. Instead, the doctor agrees to take responsibility for a number of patients with a health plan, and the doctor is paid a fixed fee each month for each patient on their list, if the doctor sees the patient that month or not. This are ...