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(a) Briefly explain the basic characteristics of the following types of managed care plans: (i) Health maintenance organizations (HMOs)(7 marks) (ii) Preferred provider organizations (PPOs)

(a) Briefly explain the basic characteristics of the following types of managed care plans:

(i) Health maintenance organizations (HMOs)(7 marks)

(ii) Preferred provider organizations (PPOs) (7 marks)

(iii) Point-of-service (POS) plans (7 marks)

(b)What is the purpose of stop-loss insurance that is used with self-insured group medical expense plans? (4 marks)

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