Question

What does Open-Panel Model HMO offer in terms of population health?

Answer 1

HMO: (HEALTH MAINTENANCE ORGANIZATION) It is a healthcare system that shares both financial and delivery risks associated with providing comprehensive medical care to the voluntarily enrolled population of a particular area, usually in return of fixed annual fees.

BENEFITS OF OPEN-PANEL MODEL HMO TO POPULATION:

• HMO consist of group of independent practitioners who have joined the association to provide prepaid health care packages. They serve as a broker to member physicians.
• HMO provides facility to patients to be addmitted at lowest price and also provide discount on the biling charges. They include premiums such as monthly fees that you pay for coverage and they also have lowest co-pays( a fees that you pay at each doctor's appointment).
• HMO contracts with hospital a risk sharing agreement in which any loss incurred by hospital or HMO is shared on agreed upon rate.
• HMO takes a greater involvement in patient care assigning case manager to the patient to make ensure that no two managers overlapping the care and to make ensure that patient is recieving appropriate treatment.
• HMO have a Primary Care Physician (PCP), which guides a patient's health care decisions. Patient can take a benefit from a Primary Care Physician as your contact with single physician leads to familarity that leads to better and more patient focused medical care.