HMOs | Insurance Terms Lexicon

October 5, 2023 4 min read Definitions

Dual Choice in Health Insurance: Federal Regulation Explained

Insurance Healthcare Federal Law Health Insurance Dual Choice Employer Health Plans Federal Regulations HMOs Indemnity Plans

Learn about the Dual Choice in Health Insurance, a federal regulation requiring certain employers to offer both an indemnity plan and an HMO. Applicable to employers with 25+ employees, paying minimum wage or more, offering health care coverage, and a federally certified HMO available in the area.

October 4, 2023 4 min read Definitions

Staff Model HMO: Understanding this Health Insurance Structure

Health Insurance Healthcare Systems Insurance Types Healthcare Insurance HMOs Staff Model Health Maintenance Organizations

Learn about the Staff Model HMO, a type of Health Maintenance Organization (HMO) where premiums are paid directly to the HMO, which employs physicians who receive salaries and predetermined bonuses.

October 3, 2023 5 min read Definitions

Alternative Dispute Resolution in Health Insurance: Understanding PPOs and HMOs

Insurance Terms Lexicon Health Insurance ADR Health Insurance ADR PPOs HMOs Insurance Models

Learn about Alternative Dispute Resolution (ADR) mechanisms in health insurance, including PPOs and HMOs, designed to offer alternatives to the traditional fee-for-service model.