American Healthcare Technology (AHT) provides many services to hospitals, clinic, patients etc. Featured services are :
Electronic Health Records (EHR),
Personal Health Records (PHR),
Medical Coding and Billing,
For getting more information about AHT, please visit the website : http://www.ahtllc.com
Sunday, 13 December 2015
Managed Healthcare Services in Tampa, Florida, USA
healthcare changing quickly. 25 years ago, Americans could meet
doctor and insurance company and patient would share the cost. But
now, more than half of people in US have managed care plans (a type
of health insurance and organized way of both providing services &
paying for them). It have agreements with medical facilities
(doctors, hospitals etc) and healthcare providers (pharmacies, labs,
x-ray centers, medical equipment vendors etc.) to give care to
managed care plan members at lowest cost. Managed Healthcare is a
health care delivery system designed to manage cost, utilization, &
of Managed Care :
cost is less than other insurance plans.
members on plan benefits & how to access the appropriate level
members to live healthier.
are mainly 3 types of managed care plans.
Maintenance Organization (HMO)
Provider Organization (PPO)
of Service (POS)
Maintenance Organization (HMO) :
a prepaid monthly fee basis, HMO offer many health benefits like
treatments, diagnosis, tests, preventive care, surgery,
hospitalization, etc. You will get services within the HMO network.
After joining in a HMO, you need to choose a primary
care doctor. The primary care doctor will provide your general
medical care and if required he/she will refer you to a specialist.
Due to this system, HMO cost is less than other insurance plans.
Provider Organization (PPO)
managed care is like a fee-for-service situation. To become a member
of PPO network, healthcare providers should offer medical services at
lowest rates. There have contracts with a network of "preferred"
providers. Members of the plan can refer themselves to other
specialists. If you get service from a doctor in the preferred
network you will only be responsible for your annual deductible and a
copayment for your visit. If you receive care outside the preferred
network, you need to pay a higher amount to the doctor directly &
file a claim with the PPO to get reimbursed.
of Service (POS) :
is the combination of HMO and PPO. Like an HMO, you choose a primary
care physician who is responsible for all referrals within the POS
network. Members can refer themselves to other HMO networks and get
plan coverage. If the primary care doctor refer you to other
specialists, most of the bill or full bill will pay by this plan. If
you refer yourself, like PPo you will have to pay some percentage of
Managed Care Organizations (MCOs) try to achieve their goals by controlling
patient access to specialized care and eliminating unnecessary
services; integrating health care delivery and payment systems
through prepaid member fees; limiting provider fees by establishing
fixed rates for doctors and hospital services; and controlling drug
costs by implementing pharmacy benefits management plans. American Healthcare Technologies (AHT) is one of the best managed care
organization in USA.