Medical Assurance Services
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Services of other enterprises
Description
We basically structure, market and deliver Health Plans based on the principles of managed care. Managed care is a complex system that involves the active coordination of, and the arrangement for, the provision of health services and coverage of health benefits. it is essentially any system that controls access, cost and quality of healthcare. managed care usually involves three key components:
·oversight of the medical care given
·contractual relationships and organization of the providers giving care
·the covered benefits tied to managed care rules.
A prepayment or premium determined by underwriting is paid to the HMO in advance for a predetermined scope of healthcare services. Beneficiaries attend often predetermined hospitals or clinics (also called healthcare providers) for healthcare services detailed in the benefits package and which form the basis of the underwriting. A payment system is structured with the provider for the services rendered or to be rendered, comprises a prepayment or capitation and a post-payment of free-for-service.Contact the seller
Medical Assurance Services