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Health Insurance Matrix

As you learn about health care delivery in the United States, it is necessary to understand the various models of health insurance to develop important foundational knowledge as you progress through the course and for your role as a future health care worker. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers. Fill in the following matrix. Each box must contain responses between 50 and 100 words and use complete sentences.

Model

 

 

Describe the model

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 in using this model?

What are the challenges for providers in using this model?

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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