Health Management Organization
GPTKB entity
Statements (22)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
gptkb:healthcare_organization
|
| gptkbp:aimsTo |
healthcare_costs
|
| gptkbp:can_be |
non-profit or for-profit
|
| gptkbp:coordinates |
patient care
|
| gptkbp:has_a_focus_on |
cost-effective care
|
| https://www.w3.org/2000/01/rdf-schema#label |
Health Management Organization
|
| gptkbp:includes |
specialist referrals
|
| gptkbp:is_a |
health insurance plan
|
| gptkbp:is_designed_to |
manage patient care
|
| gptkbp:is_governed_by |
state and federal laws
|
| gptkbp:is_involved_in |
quality assurance programs
|
| gptkbp:is_used_in |
gptkb:Health_Maintenance_Organizations_(HMOs)
|
| gptkbp:mayHave |
limited out-of-network coverage
|
| gptkbp:offers |
preventive care services
|
| gptkbp:operates |
within a network of providers
|
| gptkbp:provides |
wellness programs
case management services healthcare_services |
| gptkbp:provides_access_to |
urgent care services
|
| gptkbp:requires |
prior authorization for services
members to choose a primary care physician |
| gptkbp:uses |
capitation payment models
|