It is a concept developed to help prevent instances of fraud or where a patient can access health care outside the designed network. The health insurance providers are notified when one of their members have accessed services and once approved; the claim will be sent to the healthcare provider.
Describe two (2) of the choices an employer may make to help control health care costs.
One of choice is by providing group insurance for the employees. It will help the employer to lower the cost of healthcare they can use to provide for the employees. Since it will be a group of employees who will be contributing to the plan, the funds will incur fewer taxes. Less money deducted means the plan can cover more aspects which will be beneficial to both the employer and the employee.
Another choice is allowing employees to choose their preferred healthcare insurance plan. The employees will be responsible for the amount of money they want to be deducted from their income, and they will choose the type of service that benefits them. The flexibility the employer will offer to the patients will allow them to select the best health insurance plan in the market and those that are lower. The employer will save money as they will pay for health services employee use rather than service they never