Health Maintenance Organization (HMO)
GPTKB entity
Statements (30)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance plan
|
| gptkbp:abbreviation |
HMO
|
| gptkbp:alternativeTo |
gptkb:Preferred_Provider_Organization_(PPO)
gptkb:Exclusive_Provider_Organization_(EPO) gptkb:Point_of_Service_(POS) |
| gptkbp:employs |
network of providers
|
| gptkbp:example |
gptkb:Aetna
gptkb:Humana gptkb:Kaiser_Permanente gptkb:UnitedHealthcare |
| gptkbp:focusesOn |
managed care
|
| gptkbp:goal |
cost control
improved health outcomes |
| https://www.w3.org/2000/01/rdf-schema#label |
Health Maintenance Organization (HMO)
|
| gptkbp:limitation |
choice of providers
|
| gptkbp:offers |
preventive care
lower premiums coordinated care |
| gptkbp:originatedIn |
gptkb:United_States
|
| gptkbp:prohibits |
out-of-network coverage
|
| gptkbp:provides |
healthcare services
|
| gptkbp:regulates |
gptkb:Health_Maintenance_Organization_Act_of_1973
|
| gptkbp:requires |
primary care physician selection
referral for specialist |
| gptkbp:usedBy |
gptkb:Medicaid
Medicare Part D individuals employers |
| gptkbp:bfsParent |
gptkb:Part_C_(Medicare_Advantage)
|
| gptkbp:bfsLayer |
6
|