Prepaid medical care

Prepaid medical care of any kind is when physicians and hospitals are paid a set amount to care for a group. The first well-intentioned efforts related to provision of care for employees by big companies on a somewhat feudal but paternal basis. Large-scale engineering, construction, railroad, and mining companies provided company doctors and hospital facilities, but rapidly began to favor free choice and externally provided service plans. Because neither employer nor employee benefits from lacking the appropriate best physicians... 

Wells KB, Hays RD, Bumam MA, et al. Detection of depressive disorders for patients receiving prepaid for fee-for-service care results from the medical outcomes study. JAMA 1989 262 3298-3302. 

The Brazilian health care system may he divided into two subsystems. The unified health system, which incorporates public providers, hospitals, and primary health centers, is associated with federal, state, and local governments. It also includes for-profit and not-for-profit providers under contract to the pubhc system. The second system, which is the supplementary medical system, includes the private plans with voluntary affiliation as well as prepaid health plans and insurance companies. 

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