Health maintenance organization (HMO) is an organization that provides health insurance for monthly fee or yearly fee and thus it limits the medical services provided by the doctors that are registered under that contract. However, in traditional Medicare, the cost of drug prescription or an individual health cost is not catered for by Medicare or other insurance thus individuals have to pay on their own ( Rahman, 2015) . The traditional Medicare is better than the Medicare HMO it is not restricted on the provider he/she should see or the facility to be used as long as that Medicare is accepted unlike in HMO where an individual uses doctors, hospitals and the facilities that are under that contract. In Traditional Medicare, referrals are not mandatory as in the HMO Medicare case where referrals for a specialist are required. PPO is different from traditional Medicare in that PPO might cover other services such as vision, hearing and dental, unlike the traditional Medicare which does not put that into consideration. In Fee-for-service plan patient pay for services separately thus allows doctors to provide more treatments since payment is based on the quality of the treatment unlike in the traditional Medicare where the government pays for the services that are being provided directly.
Managers or a health care provider should put into consideration different factors when dealing with patients that have taken medical plans that are not similar. For instance, a case whereby the patient has taken deductible, which in this scenario is the amount the patient would have paid before the insurance provider, begins to pay the patient ( Rahman, 2015) . If the patient has higher deductible means, then it shows that the patient paid a greater amount when he/she begun to the health care costs thus saving money and in return an individual benefit from getting lower monthly premiums. The higher deductible plan is beneficial since a patient is eligible for a Health Savings Account (HSA). The patient with a low deductible plan also has an advantage when the treatment concerning the injury or illness is to be extended in as much as they will be paying more premiums. Patients suffer differently at different times. Some ailments require a frequent visit to the hospital while in some cases, the patient might take years before seeing a doctor. Some situations require modern facilities and referrals while others are mild and there is no need for such ( Rahman, 2015) . This is why I support that one option is not relevant to all patient instead different plans should be issued, or patients should be advised to undertake them depending on their situations.
Delegate your assignment to our experts and they will do the rest.
Recent health reform changes will automatically affect the provision and administration of home health services positively since prices have been reduced, and many people can now afford the charges thus a large number of people are receiving treatment ( Rahman, 2015) . There is also a reduction in the number of patients being administered as the ACA has developed technology; hence quite some people can access the information pertaining to health online ( https://www.capella.edu/blogs/cublog/how-health-care-reform-is-changing-the-health-care-industry/ ). Patient from the remote areas or the ones with busy schedule are no longer having barriers when it comes to receiving treatment care as there are online support from nurses thus flexible health care.
Reference
Rahman, M., Keohane, L., Trivedi, A. N., & Mor, V. (2015). High-cost patients had substantial rates of leaving Medicare Advantage and joining traditional Medicare. Health Affairs , 34 (10), 1675-1681.
