Health Maintenance Organization
Taxonomy Code 302R00000X

Classification: Health Maintenance Organization

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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 Organization - Health Maintenance Organization Organization Ratio per 10,000 Population by State

Data based on 2014 Census Population Estimates. Organization information last updated 7/10/2017


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

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The NPI Database was last updated on 7/10/2017 with 5,280,425 records.

Organization(s) data per State with Population Ratio