Health Maintenance Organization
Taxonomy Code 302R00000X

Classification: Health Maintenance Organization

Quick Links : Map of Health Maintenance Organizations per State | Number of Health Maintenance Organizations per State

Description

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Notes

Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

Volume numbers are based on primary as well as secondary taxonomy codes of Organizations.

Health Maintenance Organizations Ratio per 10,000 Population by State

Data based on 2014 Census Population Estimates. Organization information last updated 11/14/2017


Green Color Indicates no Organization(s) recorded for that state

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The NPI Database was last updated on 11/14/2017 with 5,400,392 records.

Health Maintenance Organizations per State with Population Ratio