What is the role of insurance payers in the quality of services of a health care...
What is the role of insurance payers in the quality of services of a health care organization? Do they have an influence over the quality of an organization? How so?
Homework Answers
Ans) Health insurance is a financial agreement for the payment of health-related costs made between an individual or group of individuals and an insurance company.
- A person pays a premium for their health insurance.
- Coinsurance is the percent share of the costs of a covered health care service that you are responsible for.
- Payers in theory are responsible to ensure that limited financial resources are used appropriately to create quality of services, broad access to needed services, patient safety, and affordable healthcare coverage. They are not licensed to diagnose and treat patients.
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