full-risk HMO

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.

full-risk HMO

(ful-risk)
A health care company fully capitated to include a wide range of benefits across preventive, primary, and acute care services.
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