Which feature is characteristic of a health maintenance organization HMO?
Asked by: Dr. Kieran Macejkovic DDS | Last update: October 5, 2025Score: 4.5/5 (37 votes)
Which of the following is a characteristic of a Health Maintenance Organization (HMO)?
The main characteristics of HMO insurance plans include the following: HMOs provide medical insurance coverage for a monthly or annual fee. HMO insurance plans limit member coverage to healthcare provided through a network of physicians, doctors, and other medical providers who are under contract with the HMO.
What are the characteristics of an HMO plan?
An HMO is a kind of health insurance that has a list of providers, such as doctors, medical groups, hospitals, and labs. You must get all of your health care from the providers on this list. This list is called a network. Usually you have a main doctor, who is part of a medical group that has a contract with the HMO.
Which statements characterize a Health Maintenance Organization (HMO)?
Which statements characterize a health maintenance organization (HMO)? Patients are allowed to see only medical personnel who are affiliated with the HMO. The patient pays nothing at the time of service, because premiums cover all visits and procedures in advance.
What is a Health Maintenance Organization HMO quizlet?
Health Maintenance Organization (HMO) An organization that provides its members with basic healthcare services for a fixed price and for a given time period.
What does health maintenance Organization Do?
What is the main focus of a Health Maintenance Organization HMO )?
HMOs often provide integrated care and focus on prevention and wellness.
What is one major advantage of a Health Maintenance Organization HMO )?
The main advantages of an HMO health plan include: Usually lower premiums, deductibles and cost-shares compared to other types of health plans. A PCP to help coordinate your care.
Which of the following is a feature of an HMO quizlet?
An HMO features managed care, prepaid services, co-pays, a gatekeeper primary care physician, a limited choice of providers, and a limited service area.
Which of the following best describes an HMO?
A Health Maintenance Organization (HMO) is a type of healthcare system in which (c) a group of physicians have partnered to provide services to participating patients for a predetermined fee. HMOs work by receiving a fixed amount for each person enrolled in the plan, irrespective of the number of services provided.
What is a HMO quizlet?
Providers are paid a reduced rate by the insurance company to insure a large client base. HMO. A Health Maintenance Organization, or HMO, is a network of providers from the primary care physician to specialists, who are most times connected to a particular hospital and particular network affiliated medical offices.
Which is not a characteristic of an HMO?
Final answer: Contracting with insurance companies is not typically a characteristic of HMO plans; instead, HMOs provide healthcare directly to subscribers and include services like outpatient care, free checkups, and early treatment.
What is the primary purpose of HMO?
HMOs are a type of managed care designed to maintain the health of their patients cost-effectively. A primary method HMOs use to achieve these goals is to coordinate health services and care provided to patients.
What are the primary characteristics of managed care plans?
- A limited network of providers (professionals such as physicians and organizations such as hospitals, imaging centers, pharmacies, and laboratories) who are each credentialed and contracted.
- Utilization management.
- Quality management.
What are the characteristics of a health organization?
- I. Commitment to culture.
- II. Willingness to seek great leadership.
- III. Evidence-based clinical and managerial practices.
- IV. Customer service and loyalty.
- V. Continual improvement and reduction of operating costs.
- VI. ...
- VII. ...
- VIII.
Which payment characteristic is most associated with a Health Maintenance Organization HMO )?
HMOs provide medical treatment on a prepaid basis, which means that HMO members pay a fixed monthly fee, regardless of how much medical care is needed in a given month. In return for this fee, most HMOs provide a wide variety of medical services, from office visits to hospitalization and surgery.
What does the HMO include?
HMO meaning refers to Health Maintenance Organization, a type of insurance plan that provides healthcare services to members through a network of doctors, hospitals, and other providers. Members subscribed to the HMO have to pay a monthly or annual fee to access the medical services.
What is a characteristic of an HMO?
HMO stands for health maintenance organization. HMOs have their own network of doctors, hospitals and other healthcare providers who have agreed to accept payment at a certain level for any services they provide. This allows the HMO to keep costs in check for its members.
Why is HMO the best?
HMO plans are generally less expensive than PPO plans, with lower monthly payments, making them ideal if your favorite doctors are already in the network, or if you receive most of your care close to home.
What are the characteristics of HMO and PPO?
HMOs don't offer coverage for care from out-of-network healthcare providers. The only exception is for true medical emergencies. With a PPO, you have the flexibility to visit providers outside of your network. However, visiting an out-of-network provider will include a higher fee and a separate deductible.
Which of the following best describes a Health Maintenance Organization HMO quizlet?
A Health Maintenance Organization (HMO) is a prepaid group health plan, where members pay in advance for the services of participating physicians and hospitals that have agreements.
Which of the following statements regarding HMOs is correct?
The correct statement regarding Health Maintenance Organizations (HMOs) is that An HMO is a type of MCO (Managed Care Organization). HMOs provide managed care that is prepaid health plans with designated providers, which means patients must visit physicians employed by the HMO or on the approved list.
Which of the following is a characteristic of the staff model of an HMO?
The Staff Model is characterized by HMO ownership of the delivery system facilities and the employment of physicians on salary to serve exclusively the HMO membership. The Group Model is characterized by an HMO contracting with a medical group to serve the HMO's membership.
What is the primary goal of the HMO?
One popular choice is a Health Maintenance Organization, or HMO plan. These plans usually have low monthly costs and often no deductibles. This means you pay less before your insurance helps with your care. HMOs focus on preventive care and wellness.
What are the health benefits of HMOs?
They contribute to the development of the infant's microflora and immune system. By acting via various mechanisms, they protect against many infections and alleviate their course. They have been shown to have anti-bacterial, anti-viral and anti-inflammatory effects.
What is HMO advantage?
An HMO is a type of. Medicare Advantage Plan (Part C) Medicare Advantage Plan (Part C) A type of Medicare-approved health plan from a private company that you can choose to cover most of your Part A and Part B benefits instead of Original Medicare. It usually also includes drug coverage (Part D).