Question

select all that apply
which statements characterize a health maintenance organization (hmo)? (more than one answer may be correct.)
□ patients are allowed to see only medical personnel who are affiliated with the hmo.
□ hmos tend to be more expensive than other types of health care plans.
□ hmo hopes to remove any incentive to provide more services than the patients really need.
□ physicians work on salary instead of being paid a fee for each service.

Explanation:

• Patients are allowed to see only medical personnel who are affiliated with the HMO: HMOs typically have a network of providers, and patients are expected to use these in - network providers.
• HMO hopes to remove any incentive to provide more services than the patients really need: HMOs often focus on cost - effective care. By having a capitation or salaried payment system (for providers), there is less incentive to over - service.
• Physicians work on salary instead of being paid a fee for each service: In many HMO models, providers (including physicians) are paid a salary or a capitation (per - patient) amount rather than a fee - for - service, which helps control costs and aligns incentives with cost - effective care.

HMOs are generally not more expensive than other types of health care plans. In fact, they are often designed to be cost - effective.

Answer:

• Patients are allowed to see only medical personnel who are affiliated with the HMO.
• HMO hopes to remove any incentive to provide more services than the patients really need.
• Physicians work on salary instead of being paid a fee for each service.