health maintenance organizations (HMOs)

GPTKB entity

Statements (23)
Predicate Object
gptkbp:instanceOf health insurance organization
gptkbp:abbreviation HMO
gptkbp:contrastsWith point of service plans (POS)
preferred provider organizations (PPOs)
gptkbp:emphasizes preventive care
gptkbp:feature lower out-of-pocket costs
limited provider choice
gptkbp:focusesOn cost control
coordinated care
gptkbp:fundedBy employer contributions
member premiums
https://www.w3.org/2000/01/rdf-schema#label health maintenance organizations (HMOs)
gptkbp:offers health insurance plans
gptkbp:originatedIn gptkb:United_States
gptkbp:prohibits out-of-network coverage
gptkbp:purpose provide managed health care
gptkbp:regulates gptkb:Health_Maintenance_Organization_Act_of_1973
state insurance departments
gptkbp:requires primary care physician selection
use of network providers
referral for specialist care
gptkbp:bfsParent gptkb:Ministry_of_Health_(Israel)
gptkbp:bfsLayer 5