A1.
The purposed fiscally sustainable strategies for Seamus Company through
the perspective of a CFO are as follows.
Preferred Provider Organization (PPO)
Health Maintenance Organizations (HMO)
Point of Service (POS)
A1 a.
1. Preferred Provider Organization PPO
One of the most common managed care organization that is growing is Preferred
Provider Organizations. The PPO will allow employees to choose their provider, and
the cost would be lower if they choose providers within the network. A PPO will
have the employee having to pay a monthly premium. This will be an automatic
deduction from their paychecks prior to taxation being calculated. This option
doesn’t require a referral to see medical specialists. Depending on the number of
employee it comes with tax benefits utilizing QSEHRA or HRA. The top fiscal
benefit of a PPO is that employees do
not need to authorization or referral to seek a provider outside the network. The cost
for premiums will not change.
2. Health Maintenance Organization (HMO)
The second strategy is Health Maintenance Organization plan. This strategy has a
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