Question

this s a BUSINESS class conentratio HEALTHCARE ADMINISTRATION

HMO is a Health Maintenance Organization.

Is the Affordable Care Act an HMO, why and what are the pros and cons of this model of health care insurance

Answer 1

Yes , HMO is the affordable care Act, HMO come under the affordable care Act , as because insurer look to control the medical expenses of obamacare patient. it limits the choices of doctors and hospital to their provider network. it is offering more affordable product that keep medical expenses in check.

Following are the advantages and disadvantages of the HMO model of health care insurance---------

Advantage----------

1. It has lower premium than other health care plans.

2. this insurance plan tend to focus on wellness and prevention, offering perk for healthy lifestyle .

3.patient can access to any necessary care.

DISADVANTAGES---------

1. one of the disadvantages of this is that it can require member to get prior approval before seeing specialists. this can be hassel for those who know they need specialist and dont want to waste the time. must have referral to see a specialist.

2. HMO provider networks can be restrictive, there is a limited choice of providers.