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.
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HIP, which started out as a group-model HMO, now offers PPO plans as well.
Data were obtained from medical service utilization records and antidepressant prescription claims for youths enrolled in Midwestern and Mid-Atlantic Medicaid programs, and a group-model HMO in the Northwest (Pediatrics 109[5]:721-27, 2002).
TABLE 1 CHARACTERISTICS OF PHYSICIAN RESPONDENTS (N=963) Age, years, % <40 9 41-55 58 >55 33 Men, % 90 Race/ethnicity, % African American 7 Asian 18 Latino 8 White 63 Other 4 Specialty, % Cardiology 14 Endocrinology 14 Gastroenterology 15 Neurology 15 Ophthalmology 15 Orthopedic surgery 14 General surgery 14 Practice setting, % Solo practice 44 2-10 physician office group 29 11-50 physician office group 6 51 or larger physician office group 8 Group-model HMO 12 Dominant payment mode, % Fee for service * 59 Capitation ([dagger]) 16 Salary 25 HMO denotes health maintenance organization.
The second study compared neonatal outcomes following in utero exposure to tricyclics and SSRIs using a large database from a group-model HMO.
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.
DHP, based in Madison, WI, is a for-profit, group-model HMO, licensed in Wisconsin.
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.