Physicians in a network model HMO
might be members of one group or two or more groups that contract to provide services for a monthly fee.
Network Model HMO
- An HMO contracts with several physician groups and physicians that may share in savings but also may provide care to other patients who are non-HMO members.
HealthEase is a direct contract network model HMO
, which began offering its Medicaid Plan in December of 1994 and received its license to operate as a commercial health maintenance organization in June of 1997.
is a staff and network model HMO
, based in Pittsburg, licensed in the states of Pennsylvania and Ohio.
AvMed is a network model HMO
contracting with individual physicians
Our goal is to continue operating group and network model HMO
operations in the markets we serve," explained Jeff Folick, PacifiCare Health Systems' chief operating officer.
Similarly, IPA (Independent Practice Association) and network model HMOs
are likely to have higher demand prices than group or staff model HMOs.
That pattern does not hold as well for group and network model HMOs
, where 11 to 32 percent of the rural classification counties are included in service areas.
In addition, GHAA, AMCRA, and InterStudy also include a category for Network Model HMOs, which are defined as those that contract with two or more fee-for-service group practices to provide medical services.
Conversely, fee-for-service medical groups that contract with the Group Model and Network Model HMOs have fee-for-service patients as well as prepaid patients and, therefore, may have a different practice style that is less likely to be consistent with the HMO's approach.