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gptkbp:instance_of
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gptkb:Health_Insurance
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gptkbp:aims_to
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improve health outcomes
|
|
gptkbp:can_be
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non-profit
for-profit
|
|
gptkbp:can_create
|
insurance companies
|
|
gptkbp:can_include
|
mental health services
telehealth services
specialist referrals
|
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gptkbp:can_negotiate_rates_with
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healthcare providers
|
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gptkbp:can_provide
|
chronic disease management
health education resources
|
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gptkbp:encourages
|
preventive care
|
|
gptkbp:focuses_on
|
cost control
|
|
gptkbp:governed_by
|
state regulations
|
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gptkbp:has
|
fixed monthly premiums
|
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gptkbp:has_limitations
|
out-of-network coverage
|
|
https://www.w3.org/2000/01/rdf-schema#label
|
Health Maintenance Organization (HMO)
|
|
gptkbp:is_a_choice_for
|
managed care patients
|
|
gptkbp:is_a_key_component_of
|
healthcare reform initiatives
|
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gptkbp:is_a_solution_for
|
cost-conscious consumers
|
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gptkbp:is_associated_with
|
network restrictions
|
|
gptkbp:is_characterized_by
|
gatekeeping
|
|
gptkbp:is_criticized_for
|
restrictive practices
|
|
gptkbp:is_designed_to
|
reduce healthcare costs
|
|
gptkbp:is_evaluated_by
|
member satisfaction
|
|
gptkbp:is_funded_by
|
member premiums
|
|
gptkbp:is_involved_in
|
value-based care models
|
|
gptkbp:is_known_for
|
coordinated care
|
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gptkbp:is_often_compared_to
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gptkb:Preferred_Provider_Organization_(PPO)
|
|
gptkbp:is_often_used_in
|
individuals and families
Medicaid programs
|
|
gptkbp:is_part_of
|
employee benefits packages
U. S. healthcare system
|
|
gptkbp:is_popular_among
|
employers
|
|
gptkbp:is_popular_for
|
lower out-of-pocket costs
|
|
gptkbp:is_required_to_provide
|
certain essential health benefits
|
|
gptkbp:is_subject_to
|
healthcare laws
|
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gptkbp:may_have
|
annual enrollment periods
limited geographic coverage
|
|
gptkbp:may_offer_discounts_for
|
wellness activities
|
|
gptkbp:may_require_members_to
|
use in-network providers
|
|
gptkbp:model
|
integrated care
|
|
gptkbp:offers
|
wellness programs
preventive services
additional benefits
|
|
gptkbp:provides
|
managed care
|
|
gptkbp:provides_access_to
|
network of doctors
|
|
gptkbp:requires
|
primary care physician
copayments for services
|
|
gptkbp:requires_members_to
|
choose a primary care provider
|
|
gptkbp:requires_pre-authorization_for
|
certain procedures
|
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gptkbp:type_of
|
gptkb:health_services
|
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gptkbp:bfsParent
|
gptkb:Blue_Cross_Blue_Shield_of_the_Irish_Sea
gptkb:Kaiser_Permanente_Insurance_Company
gptkb:Universal_American_Corp.
gptkb:Cigna_Corporation
|
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gptkbp:bfsLayer
|
5
|