Health Care Finance Models
Describe how health care is financed by examining both the market-based and government-based approaches.
Access the “Health Care Financing” attached document and complete the comparison chart. Write 3-4 sentences minimum for each approach.
There are two broad approaches to financing health care: a market-based approach and a government-financed approach. Answer the 12 questions, providing 3-4 sentences minimum for each approach.
Include any references used at the end of the chart.
Market-based
(HMO, POS, PPO, etc.) Government-financed
(Medicare, Medicaid, Tricare, etc.)
Who is provided access?
How much coverage is provided?
How are the services paid for?
How does reimbursement apply?
Are there limitations of care?
What guides care decision for patients?
What is the quality of services (use HEDIS website for answer)?
Are there competitive options?
How much are prevention and wellness emphasized and measured?
How are health care costs managed and controlled?
How are medical advances generated?
How is health care reform established?
