Open-Panel HMO: An HMO in which any physician who meets the HMO's standards of care may contract with the HMO as a provider. These physicians typically operate out of their own offices and see other patients as well as HMO members.

 

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Open-Panel HMO: An HMO in which any physician who meets the HMO's standards of care may contract with the HMO as a provider. These physicians typically operate out of their own offices and see other patient . . . View Full Definition

Open-Ended Hmos: HMOs which allow enrolled individuals to use out-of-plan providers and still receive partial or full coverage and payment for the professional's services under a traditional indemnity plan.

Network Model HMO: An HMO that contracts with more than one group practice of physicians or specialty groups.

Specialty Health Maintenance Organization (Specialty HMO): An organization that uses an HMO model to provide healthcare services in a subset or single specialty of medical care.

Staff Model HMO: A closed-panel HMO whose physicians are employees of the HMO.

IPA Model HMO: A health maintenance organization which contracts with one or more associations of physicians in independent practice who agree to provide medical services to HMO members.

HMO Act: 1973 federal law that ensured access for HMOs to the employer-based insurance market.

Dental Health Maintenance Organization (DHMO): An organization that provides dental services through a network of providers to its members in exchange for some form of prepayment.

Group Model HMO: An HMO that contracts with a multi-specialty group of physicians who are employees of the group practice. Also known as a group practice model HMO.

Health Maintenance Organization (HMO): A healthcare system that assumes or shares both the financial risks and the delivery risks associated with providing comprehensive medical services to a voluntarily enrolled population in a . . . View Full Definition