Health Maintenance Organizations (HMOs)
GPTKB entity
Statements (53)
| Predicate | Object |
|---|---|
| gptkbp:instance_of |
gptkb:Health_Insurance
|
| gptkbp:can_be |
non-profit or for-profit
|
| gptkbp:can_include |
mental health services
capitation payment model additional benefits like dental and vision |
| gptkbp:can_lead_to |
lower out-of-pocket costs
|
| gptkbp:can_provide |
telehealth services
chronic care management services |
| gptkbp:emphasizes |
preventive care
|
| gptkbp:encourages |
preventive health measures
|
| gptkbp:enhances |
health outcomes through care coordination
|
| gptkbp:focuses_on |
cost control
|
| gptkbp:has_limitations |
out-of-network coverage
|
| https://www.w3.org/2000/01/rdf-schema#label |
Health Maintenance Organizations (HMOs)
|
| gptkbp:is_a_choice_for |
individuals seeking comprehensive coverage
|
| gptkbp:is_a_form_of |
healthcare delivery system
|
| gptkbp:is_associated_with |
network-based care
|
| gptkbp:is_beneficial_for |
chronic disease management
|
| gptkbp:is_challenged_by |
rising healthcare costs
|
| gptkbp:is_characterized_by |
coordinated care
|
| gptkbp:is_designed_to |
reduce healthcare costs
|
| gptkbp:is_evaluated_by |
member satisfaction ratings
|
| gptkbp:is_influenced_by |
healthcare policy changes
|
| gptkbp:is_known_for |
lower administrative costs
|
| gptkbp:is_often_compared_to |
Preferred Provider Organizations (PPOs)
|
| gptkbp:is_often_used_in |
low-income individuals
|
| gptkbp:is_part_of |
employer-sponsored health plans
managed care landscape. |
| gptkbp:is_popular_among |
employers
|
| gptkbp:is_popular_for |
its simplicity
|
| gptkbp:is_regulated_by |
state insurance departments
|
| gptkbp:is_subject_to |
network restrictions
|
| gptkbp:key_player |
the U. S. healthcare system
|
| gptkbp:may_have |
higher premiums than other plans
limited provider choices |
| gptkbp:network |
healthcare providers
|
| gptkbp:offers |
wellness programs
preventive services family coverage options incentives for healthy behaviors |
| gptkbp:operates |
within a network of providers
|
| gptkbp:provides |
managed care
|
| gptkbp:provides_access_to |
specialists with referrals
|
| gptkbp:reduces |
unnecessary medical procedures
|
| gptkbp:requires |
primary care physician
copayments for services disclose plan details to members |
| gptkbp:requires_members_to |
choose a primary care physician
obtain referrals for specialists |
| gptkbp:requires_prior_authorization_for |
certain services
|
| gptkbp:type_of |
gptkb:health_services
|
| gptkbp:bfsParent |
gptkb:Cigna_Supplemental_Benefits
|
| gptkbp:bfsLayer |
7
|