health maintenance organization
Recent Examples of health maintenance organization from the Web
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.
The insurer is raising rates on its ACA health maintenance organization plans by around 23% on average.
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First Known Use of health maintenance organization
Financial 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.
Learn More about health maintenance organization
Britannica.com: Encyclopedia article about health maintenance organization
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