Details About Norman Home Care

This community makes it comparatively simple (believe it or not). The employer or person receives a health plan with a specified package of benefits from a private insurance provider. This benefit package would also include what is called a premium (an sum that must be charged by the patient/individual before their insurer pays more for their health care services). The insurance plan covers the fees for services given in the health care system until the deductible limit is met. Sometimes for a facility, they would pay a maximum charge (say $100 for an x-ray). The plan needs a co-payment to be paid by the individual (a sharing of the cost between the health plan and the individual).You may want to check out Norman Home Care for more.

A common industry practise is an 80/20 payment split, where the health insurer will pay $80 in the case of the $100 x-ray, and the patient will pay $20… recall those annoying medical bills saying that not all the costs were covered by the insurance? This is where they originate from. Another drawback to this model is that health care professionals are both financially motivated and legally obligated to conduct further tests and procedures since extra payments are charged for any of these or are kept legally liable for not ordering the tests when things go wrong (called “CYA or “Cover You’re A**” medicine).” Wouldn’t you order anything justifiable if ordering more tests provided you with more legal rights and more compensation? Should we say reward misalignment?

It’s getting wild now. Managed care insurers pay for care while still ‘managing’ the care for which they pay (very clever name, right). “a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision making through case-by-case assessments of the appropriateness of care prior to its provision “a set of techniques used by or on behalf of health care benefit buyers to manage health care costs by impacting decision-making on patient care through case-by-case evaluations of the appropriateness of care prior to its provision (2). Yep, on your behalf, insurers make medical decisions (does it sound as frightening to you as to us?).

Contact Info

Hearts at Home Companion Care – Home Health Care Norman OK
1400 N Porter Ave, Norman, OK 73071
(405) 310-4000