health maintenance organization
nounDefinition of health maintenance organization
Examples of health maintenance organization in a Sentence
Recent Examples on the Web
For instance, in Maryland, CareFirst BlueCross BlueShield proposed an 18.5% average increase on health maintenance organization plans and a 91.4% increase on its smaller preferred provider organization business. — Joseph Walker, WSJ, "Insurers Seek Smaller Rate Increases on ACA Plans," 1 Aug. 2018 Print subscribers get a password for your existing account here The program potentially could affect about a half-million Texans who have Blue Cross and Blue Shield health maintenance organization, or HMO, plans. — Jenny Deam, San Antonio Express-News, "Blue Cross agrees to 60-day delay of stepped-up review of ER claims," 31 May 2018 The program could potentially affect about a half million Texans who have Blue Cross and Blue Shield health maintenance organization, or HMO, plans. — Jenny Deam, Houston Chronicle, "Blue Cross Blue Shield will delay its controversial ER denial program," 31 May 2018 Medical coverage in 2016 for a single person cost a monthly $616.36 for health maintenance organization care and $630.14 for preferred provider care. — Emily Bamforth, cleveland.com, "Towpath Trail closes through Cuyahoga Valley National Park due to flooding," 16 Apr. 2018 Other options include dental savings plans and dental health maintenance organizations, or DHMOs. — Washington Post, "Even when insurance doesn’t cover dental care, you may be able to curb costs," 18 Dec. 2017 Gail Trauco's insurer is eliminating her company's policy known as a preferred provider organization, or PPO, replacing it with a health maintenance organization, or HMO, a change that would limit the choice of doctors for her five employees. — Joyce M. Rosenberg, USA TODAY, "As health premiums rise, small businesses seek alternatives," 9 Dec. 2017 All of the Obamacare plans left in the Kansas City area are health maintenance organizations (HMO) or exclusive provider organizations (EPO) that offer no reimbursement for out-of-network care except in emergencies. — Andy Marso, kansascity, "What you need to know if you’re going to sign up for Obamacare this week," 30 Oct. 2017 The insurer is raising rates on its ACA health maintenance organization plans by around 23% on average. — Anna Wilde Mathews, WSJ, "Amid ACA Turmoil, Insurers Brace for Drop in Enrollment," 18 Oct. 2017These example sentences are selected automatically from various online news sources to reflect current usage of the word 'health maintenance organization.' Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors. Send us feedback.
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More Definitions for health maintenance organization
health maintenance organization
nounFinancial Definition of health maintenance organization
What It Is
A health maintenance organization (HMO) is a health insurance provider with a network of contracted healthcare providers and facilities. Subscribers pay a fee for access to services within the HMO's network.
How It Works
An HMO develops its network by contracting primary care physicians (for example, internists and family doctors), specialists (for example, cardiologists and ophthalmologists), and clinical facilities (for example, hospitals and specialty clinics). The HMO agrees to pay these parties specific levels of compensation for a range of services they provide to its subscribers.
In return for a monthly fee, or premium, subscribers are granted access to providers inside the network at no additional cost. Subscribers may access services outside the network with the HMO's approval but may need to pay for part of the services.
Why It Matters
Companies often offer healthcare benefits to employees via HMOs. HMOs are some of the most popular managed care plans that employers provide to their employees. The premium structure of an HMO reduces healthcare costs for families and, at the same time, benefits network providers by supplying them with more patients.
Source: Investing Answers
health maintenance organization
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Medical Definition of health maintenance organization
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