Learn about Health Maintenance Organization (HMO) health insurance plans, how they work, and the obligations for employers with more than 25 employees.
Understand the gatekeeper model in health insurance, where the primary care physician acts as a gatekeeper, directing patient care and referrals. Learn how this affects HMO and PPO plans.
Learn about Preferred Provider Organization (PPO) networks in health insurance, how they operate, and their benefits compared to HMO plans. Discover the flexibility PPOs provide for choosing healthcare providers.
Learn about Federal Qualification by the Health Care Financing Administration and its importance for HMOs in ensuring quality health services.
Learn about the Individual Practice Association (IPA) model HMO, where medical services are provided by contracted physicians within an HMO network. Understand how it functions and benefits healthcare consumers.
Learn about Group Model HMO, a type of Health Maintenance Organization that negotiates rates with specific provider groups and hospitals to offer medical care to policyholders.
Learn about the Certificate of Authority in health insurance, a state-issued certificate crucial for the licensing and operation of health maintenance organizations.
Explore the Network Model HMO in health insurance, a model that contracts with multiple physician groups allowing broader healthcare access. Learn how this model works and its benefits.
Learn how multiple option plans in health insurance provide employees with choices among HMOs, PPOs, and major health plans. Ideal for making informed decisions about your healthcare coverage.
