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
|