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Why would it be difficult for a small community hospital or a practicing physician to survive in today’s health care climate?
the viablity of any business (and hospitals ad Dr.offices are businesses) depends on being able to make more money than you spend. [ Hospitals require huge amounts of money to get set up - the building, utilties, phone, furniture, lab machines and necessary equipmnt, X-ray, CAT scan, etc. Drs. offices need a lot of the same things, just on a smaller scale. Also, both need a lot of insurance,
which is extremely expensive - and they cannot operate withoutit. If there are not enough customers (patients) that will pay their bills, then the business cannot pay it's bills either. If Drs and hospitals have to wait long- often months- to be paid by Insurance, how can they make it? Refer to: ]
Expert answered|yeswey|Points 2164|
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Asked 1/30/2013 8:00:56 PM
Updated 1/30/2013 10:54:46 PM
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Please make sure you cite your source when you copy and paste.
Added 1/30/2013 8:27:28 PM
Thank you Deb. I was about to cite the source when i found that it was not available (i dont know why) you can see i have already written "refer to" there but the link was not available then.
It seems there are more problems nowadays to Weegy. From now and then the service is not available and very soon i would receive email telling me i could not answer the question. Sometimes the screen was just frozen and i could not answer the question after i accept it. You have the same experience?
Added 1/30/2013 10:54:46 PM
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The difference between HMO's and PPO's?
Weegy: The following outline compares some of the features of HMOs and PPOs. These are general rules and you should speak with your human resources office at work or directly with your health plan. [ If you are in the process of deciding between enrolling in a HMO or PPO, you often can compare the plans by going online to the plans' websites to learn about the available benefits and costs. Which health care providers must I choose? HMO: You must choose doctors, hospitals, and other providers in the HMO network. PPO: You can choose doctors, hospitals, and other providers from the PPO network or from out-of-network. If you choose an out-of-network provider, you most likely will pay more. Do I need to have a primary care physician (PCP)? HMO: Yes, your HMO will not provide coverage if you do not have a PCP. PPO: No, you can receive care from any doctor you choose. But remember, you will pay more if the doctors you choose are not "preferred" providers. How do I see a specialist? HMO: You will need a referral from your PCP to see a specialist (such as a cardiologist or surgeon) except in emergency situations. Your PCP also must refer you to a specialist who is in the HMO network. PPO: You do not need a referral to see a specialist. However, some specialists will only see patients who are referred to them by a primary care doctor. And, some PPOs require that you get a prior approval for certain expensive services, such as MRIs. Do I have to file any insurance claims? HMO: All of the providers in the HMO network are required to file a claim to get paid. You do not have to file a claim, and your provider may not charge you directly or send you a bill. PPO: If you get your healthcare from a network provider you usually do not need to file a claim. However, if you go out of network for services you may have to pay the provider in full and then file a claim with the PPO to get reimbursed. The money you receive from the PPO will most likely be only part of the bill. ] (More)
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Asked 1/28/2013 9:52:00 PM
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You do get what you pay for when it comes to HMOs. The service limitations and restrictions is what makes the out of pocket expenses lower than the PPO or POS plans.What is your opinion?
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