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full-risk HMO

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full-risk HMO,
(in U.S. managed care) a health maintenance organization in which the hospital receives capitation (money paid) for all facility and hospital-based physician services. The physician group receives capitation and shares the deficit or surplus of the hospital risk pool. The HMO retains premium dollars and assumes risk for out-of-area emergencies, pharmacy benefits, and vision benefits.


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9 million full-risk HMO and Administrative Services Only (ASO) members in nine states: California, Colorado, Connecticut, Idaho, New Jersey, New Mexico, Pennsylvania, Oregon and Washington.
9 million full-risk HMO and Administrative Services Only (ASO) members in nine states: California, Colorado, Connecticut, Idaho, New Jersey, New Mexico, Pennsylvania, Oregon and Washington.
9 million full-risk HMO and Administrative Services Only (ASO) members in nine states: California, Colorado, Connecticut, Idaho, New Jersey, New Mexico, Pennsylvania, Oregon and Washington.
 
 
 
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