Health Maintenance Organizations (HMOs)
GPTKB entity
Statements (45)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance
|
| gptkbp:aimsTo |
healthcare_costs
|
| gptkbp:associated_with |
lower out-of-pocket costs
|
| gptkbp:awardedBy |
rates with healthcare providers
|
| gptkbp:encourages |
preventive health measures
|
| gptkbp:has_a_focus_on |
cost-effective healthcare
|
| gptkbp:hasDepartment |
out-of-network coverage
|
| https://www.w3.org/2000/01/rdf-schema#label |
Health Maintenance Organizations (HMOs)
|
| gptkbp:includes |
various healthcare providers
capitation payment models |
| gptkbp:influenced |
healthcare_policy_changes
|
| gptkbp:is_a |
managed care organization
|
| gptkbp:is_a_key_player_in |
the healthcare industry
|
| gptkbp:is_a_model_for |
integrated healthcare delivery
|
| gptkbp:is_a_subject_of |
quality assurance measures
|
| gptkbp:is_characterized_by |
lower premiums compared to other plans
|
| gptkbp:is_designed_to |
health outcomes
coordinate patient care |
| gptkbp:is_evaluated_by |
cost-effectiveness studies
member satisfaction surveys |
| gptkbp:is_funded_by |
employers or individuals
|
| gptkbp:is_governed_by |
state insurance regulations
|
| gptkbp:is_part_of |
government_programs_like_Medicaid
|
| gptkbp:is_popular_among |
gptkb:the_United_States
|
| gptkbp:is_used_in |
Health Savings Accounts (HSAs)
large employers meet certain solvency standards Preferred_Provider_Organizations_(PPOs) |
| gptkbp:mayHave |
network restrictions
limited geographic coverage wellness incentives for members |
| gptkbp:offers |
wellness programs
preventive care services |
| gptkbp:operates |
on a fixed monthly premium
|
| gptkbp:provides |
mental health services
telehealth services chronic disease management programs managed care services additional benefits like dental and vision care |
| gptkbp:provides_access_to |
network of doctors and hospitals
|
| gptkbp:requires |
prior authorization for certain services
members to choose a primary care physician referrals for specialist services co-pays for services coverage details to members |