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You are a new graduate, and you just started work at a medium-sized hospital with an attached clinic. You have been asked to review the five different types of health care insurance plans-that is, Medicare, Medicaid, TRICARE, worker's compensation, and commercial insurance-and the characteristics of each to make sure that the central business office (CBO) is up-to-date on all of the rules and regulations. It is important to be familiar with these plans and the characteristics of each because they play a vital role in the reimbursement process for your health care organization. Discuss the following:
Question 1: List 2 characteristics of each of the five different types of health care plans.
Question 2: What are some of the differences between the plans?
Question 3: Note that it is important to remember that health insurance is a contract between a policyholder (the insured) and a third-party payer or government health program that reimburses the policyholder for all or a portion of the cost of treatment or preventive care given by a health care professional or physician.
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