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What is a direct contract model 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.
What type of HMO model consists of physicians with separately owned practices who formally organize into a group but continue to practice in their own offices?
Independent practice association
What is a prepaid group practice model?
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........."
How does the Health Maintenance Organizations' network model operate?
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.
How much does a pediatrician earn mothly?
It depends on which insurance company (HMO) he works for. Physicians no longer operate their own practice.
What are the differences between PPO health insurance and HMO?
PPO stands for Primary Provider Organization, which means you can see phycians "in or out of network". Out of network will always be more money out of pocket to the insured. HMO stands for Health Maintanance Organization. HMO's do not have "out of network" benefits. HMO's are much more restricting because you are limited to the physicians and facilities that may be used.
What are the four types of HMO's?
the Staff Model, Group Model, Network Model, and the Independent Practice Association (IPA).
List of HMO Physicians in Monmouth County NJ What is the site?
here is some info sorted by county: http://www.njfamilycare.org/pages/plan_njkc.html
You are a physician who wants to join together with other HMO physicians but not give up your individual practice The best choice for you may be?
independent practice association IPA
What plan allows members of kaiser permanente medical care program to seek medical help from non kaiser physicians?
health maintenance organization (HMO)
What plan allows members of kaiser permanente medical care program to seek medical help from non-kaiser physicians?
health maintenance organization (HMO)
Name four types of health maintenance organization HMO models?
The four types of HMOs involve the arrangement with the physicians. HMOs can operate as a PPO, that is Preferred Provider Organization, as an IPO that is an Independent Provider Organization, or with a Physician Group within the HMO or any combination of the above.
