Learn about the Utilization and Review Committee in healthcare insurance, which monitors services and supplies provided to Medicare patients to ensure compliance and quality.
Discover what a health plan (health insurance) entails, including details on medical service coverage for members. Learn how these plans ensure access to essential healthcare.
Learn about a Home Health Agency, an essential component in health insurance, approved by and contracted to a health plan to provide certain services.
Learn about home health care, a service provided at a patient's home by nurses, health care aides, or therapists. Discover how this part-time care option can benefit patients and their families.
Learn about the Individual Practice Association (IPA) model HMO, where medical services are provided by contracted physicians within an HMO network. Understand how it functions and benefits healthcare consumers.
Learn about managed health care plans, including how they involve multiple providers sharing financial risks and provisioning medical care services.
Learn about primary care in health insurance, focusing on medical care provided by a primary physician. Discover its importance and benefits.
Learn about the importance of the Identification Card in Health Insurance. This card is essential for identifying members of a health care plan and must be presented during medical services.
Learn about utilization management in health insurance, a vital method for assessing the need for various medical services to ensure appropriate care and cost management.
