What is a health maintenance organization (HMO)?

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Prepare for the Healthcare Administration Evolution, Systems, and Leadership Test. Engage with flashcards and multiple-choice questions, each with hints and detailed explanations. Get exam-ready!

A health maintenance organization (HMO) is indeed a managed care organization that provides coverage through a network of healthcare providers. This structure emphasizes a focus on preventive care and the management of healthcare services to help contain costs while ensuring access to necessary medical services.

Members of an HMO typically choose a primary care physician from within the network, who coordinates their healthcare and provides referrals to specialists when needed. This system promotes a more integrated approach to health services, encouraging preventive care to manage health issues before they require more expensive interventions.

In contrast to other models, HMOs usually require members to use a specific network of providers, which allows for streamlined communication and coordinated care, leading to improved health outcomes.

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