oandp.com

Response update this I posted my question.



So the consensus is that this patient really has a Kaiser plan and it is
treated like any other Kaiser insurance. Unfortunately for the patient, she
has the perception that she has straight Medicare.



Many of your responses included that this is a ACO model of insurance,
basically dusting off the 1970's HMO model and reinventing it for the 21st
century. Other responses thought this was a Medicare Advantage program, but
since Kaiser is restricting her to their facilities. After doing some
online research, thanks Carey, Kaiser is one of the largest health
organizations involved in the ACO model.



Either way both plans are design to save the insurance company money and are
heavily tracked for dollar savings. Unfortunately for the ACO model, patient
are restricted to whom they can use.





Thanks for everyone's input





Albert J Garney, CPO

Prince William Orthotics & Prosthetics, LLC

8644 Sudley Rd

Suite 305

Manassas, VA 20110

703-368-7967