Morgan Rachel, MacEachern Lillian
Issue Brief Health Policy Track Serv. 2002 Dec 31:1-10.
A point-of-service (POS) option is a type of plan offered by managed care organizations (MCOs), including health maintenance organizations (HMOs), that allows people who are willing to pay higher out-of-pocket costs to see out-of-plan providers. Mandating a point-of-service option essentially eliminates the use of closed-panel HMOs. This issue brief addresses only bills that mandate managed care plans to offer a point-of-service option.
服务点(POS)选项是一种由管理式医疗组织(MCO)提供的计划类型,包括健康维护组织(HMO),它允许那些愿意支付更高自付费用的人去看计划外的医疗服务提供者。强制要求提供服务点选项实际上消除了封闭式医疗服务提供者网络的健康维护组织的使用。本问题简报仅涉及强制要求管理式医疗计划提供服务点选项的法案。