group-model HMO

group-model HMO

a health maintenance organization (HMO) in which a contract is established with multispecialty medical groups for medical services. The HMO is responsible for marketing and developing contracts with enrollees and hospitals. Care is provided at hospitals where the physicians have admitting privileges or at ancillary facilities with which the HMO subcontracts.
References in periodicals archive ?
HIP, which started out as a group-model HMO, now offers PPO plans as well.
DHP, based in Madison, WI, is a for-profit, group-model HMO, licensed in Wisconsin.
Data for the study were obtained from medical service utilization records and antidepressant prescription claims for youths enrolled in Midwestern and Mid-Atlantic Medicaid programs, as well as a group-model HMO in the Northwest (Pediatrics 109[5]:721-27, 2002).
I decided to call the medical director of a large group-model HMO located over 1,000 miles from us.
As a group-model HMO, most care is provided by The Southeast
A large staff- or group-model HMO is an example of the latter type of provider organization.
This was voted down in favor of continuing the group-model HMO, and budget of physician salaries by department was established.
More than 70 percent of Fallon Clinic's patients and 40 percent of Saint Vincent patients are members of the Fallon Community Health Plan, a group-model HMO providing care to more than 120,000 enrollees in central Massachusetts.
The highest levels of IT adoption in patient care were found among staff- and group-model HMOs, medical school faculty practices, and large group practices.
For over 20 years, Henderson has focused on the rapid growth and successful operation of all components of the healthcare delivery system, including IPA-, staff- and group-model HMOs, physician practices and hospital systems.
Staff- and group-model HMOs, such as Kaiser Permanente Health Plan, never needed to collect detailed HCFA 1500 forms for the office visits of their patients, because they did not produce bills for service.
JCAHO surveys some staff- and group-model HMOs under its ambulatory care standard.