the Staff Model, Group Model, Network Model, and the Independent Practice Association (IPA).
According to the text book "Medical Billing and Insurance Coding"-Fordney and French.... "The prepaid group practice model delivers services at one more locations thru a group of physicians who either 1.contract thru the HMO to provide care or 2. are employed aby the HMO........."
The direct contract model HMO is similar to an IPA except the HMO contracts directly with the individual physicians. The HMO recruits a variety of community healthcare providers, including PCPs and specialists.
Independent practice association
Health Maintenance Organization HMO stands for Health Maintance Organization. Basically an HMO lets you go to a small group of doctors and hospitals. But, if you go anywhere else you have NO COVERAGE.
One Care HMO group offers a number of medical services. The handle different types of medical care. There are several plans available to assist all types of customers.
HMO
he HMO contracts with various groups of physicians based on the specialty that a particular group of doctors practices. Enrollees then get their service from a network of providers based on their specialized needs.
A prepaid group practice serving a specific geographic area helth care
an HMO contracts with a group of physicians to deliver client services. The sponsor then compensates the medical group on a negotiated per capita rate
If you are employed you can get your HMO through your employer. You can also get an HMO if you are not employed, however it will cost you more since an HMO is a shared cost among many people in the company.
Anyone who can afford the payments can apply for HMO insurance. Many people can apply for HMO insurance through their employer. People can even get HMO insurance themselves and be self-insured.