Hmo

Excerpt 7: Know Your Opponent - HMO or PPO? - Carcinoid Cancer Foundation

The HMO is a vanishing breed. The only surviving HMO of any size is Kaiser Permanente. Plus, there are a few small local HMOs. Since most of us have PPOs, it behooves us to know what this means, and how the PPO set-up plays out in real life. What is an HMO? The HMO concept originated in the early 1970s. Prior to 1970, doctors had their own practices. Insurance companies were their own businesses, separate from doctors. All of a sudden, new and expensive tests and treatments were being developed, and doctors were ordering them for their patients. Doctors were also prescribing drugs for their patients, and the cost of prescription drugs was going through the roof. The insurance companies got...

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DIFS - Health Maintenance Organizations (HMOs)

You are here Health Maintenance Organizations (HMOs) Health Maintenance Organizations (HMOs) provide preventive care and other services that are basic to good health. It is a health care system that joins together the financing and delivery of health care services to covered individuals by arrangement with selected providers who furnish a broad set of health care services. If you have health care coverage through an HMO, there is a provider network to provide covered health services. Be sure to follow your HMO's network rules when you need care. The HMO must employ or contract with health care providers who undertake a continuing responsibility to provide health care to enrollees. If...

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