Health Maintenance Organization plans
GPTKB entity
Statements (43)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance plan
|
| gptkbp:abbreviation |
gptkb:HMO_plans
|
| gptkbp:contrastsWith |
gptkb:Preferred_Provider_Organization_plans
gptkb:Point_of_Service_plans |
| gptkbp:emphasizes |
cost control
care coordination |
| gptkbp:establishedBy |
gptkb:Health_Maintenance_Organization_Act_of_1973
|
| gptkbp:excludes |
out-of-network coverage
|
| gptkbp:focusesOn |
preventive care
|
| gptkbp:goal |
improving health outcomes
controlling costs reducing unnecessary care |
| https://www.w3.org/2000/01/rdf-schema#label |
Health Maintenance Organization plans
|
| gptkbp:limitsCoverageTo |
network providers
|
| gptkbp:mayInclude |
Medicaid managed care
Medicare Part D mental health services coinsurance copayments deductibles dental coverage prescription drug coverage vision coverage employer-sponsored health insurance individual health insurance market |
| gptkbp:offers |
nonprofit organizations
private insurance companies government programs lower out-of-pocket costs lower premiums |
| gptkbp:originatedIn |
gptkb:United_States
|
| gptkbp:regulates |
gptkb:Centers_for_Medicare_&_Medicaid_Services
state insurance departments |
| gptkbp:requires |
primary care physician selection
prior authorization for services referral for specialist |
| gptkbp:subject |
Affordable Care Act regulations
|
| gptkbp:type |
managed care plan
|
| gptkbp:usedBy |
individuals
employers Medicare Advantage enrollees |
| gptkbp:bfsParent |
gptkb:Medicare_Part_D
|
| gptkbp:bfsLayer |
5
|