health maintenance organizations (HMOs)

GPTKB entity

Statements (44)
Predicate Object
gptkbp:instance_of gptkb:Health_Insurance
gptkbp:aims_to_improve health outcomes
gptkbp:are_designed_to_promote care coordination
gptkbp:can_include mental health services
various types of plans
gptkbp:can_provide chronic disease management programs
specialist care access through referrals
gptkbp:contract healthcare providers
gptkbp:emphasizes wellness programs
gptkbp:encourages preventive care visits
gptkbp:focus cost control
gptkbp:governed_by state regulations
gptkbp:has_limitations out-of-network coverage
https://www.w3.org/2000/01/rdf-schema#label health maintenance organizations (HMOs)
gptkbp:is_a_key_component_of gptkb:the_Affordable_Care_Act
gptkbp:is_associated_with lower out-of-pocket costs
gptkbp:is_designed_to reduce healthcare costs
gptkbp:is_funded_by gptkb:government
monthly premiums
gptkbp:is_often_compared_to preferred provider organizations (PPOs)
gptkbp:is_part_of employer-sponsored health plans
gptkbp:is_popular_in gptkb:the_United_States
gptkbp:is_subject_to quality assurance standards
gptkbp:may_have limited geographic coverage
gptkbp:negotiated_by rates with providers
gptkbp:offers telehealth services
preventive care services
additional benefits
wellness incentives
gptkbp:often_have well-defined service areas
lower premiums than PPOs
gptkbp:often_includes capitation payment models
gptkbp:provides managed care services
gptkbp:provides_access_to network of doctors
gptkbp:reduces unnecessary hospitalizations
gptkbp:require_members_to use in-network providers
gptkbp:requires prior authorization for certain services
members to choose a primary care physician
provide essential health benefits
referrals for specialist care
gptkbp:scientific_classification staff model or group model
gptkbp:type_of gptkb:health_services
gptkbp:bfsParent gptkb:Federal_Employees_Health_Benefits_Program
gptkbp:bfsLayer 5