HMO Archives - Essay Quoll

What advice would you give the caller to find out how to tell which insurance would be her primary and why that matters. And, if she submitted a claim, should it be filed with multiple carriers?

Posted on August 2, 2021 by Ambrose

Discussing Health Insurance Description A phone call came into the help center from an older patient. She asks, “Which of my insurances is my primary insurance?” She has been on her husband’s HMO for a long time. Recently she got a new job that offers health insurance, as well. Discuss What advice would you give […]

What are the advantages and disadvantages of using the gatekeeper system in terms of progressing through the levels of care? Provide an example of each perspective.

Posted on February 3, 2021 by Ambrose

In an HMO, the primary care physician acts as the “gatekeeper” to all higher levels of care that the patient may need. In theory, this means that the physician decides what is best for the patient and coordinates his or her care, while at the same times working to control costs and trying to ensure […]