For outpatient services it is usually either a fixed-fee schedule or a discount from charges. ... HMOs are at the other end of the managed-care spectrum in that they are the most restrictive for members and require the most operational ... If a patient needs care beyond the scope of the PCP the PCP makes a referral to a specialist and calls the health plan to get the additional services authorized. By requiringanbsp;...
|Title||:||The Hitchhiker's Guide to Improving Efficiency in the Clinical Laboratory|
|Author||:||Frederick L. Kiechle, Rhonda Ingram Main|
|Publisher||:||Amer. Assoc. for Clinical Chemistry - 2002-01-01|