What does HMO stand for?

Enhance your pharmacy billing and reimbursement skills. Study with flashcards and multiple-choice questions, each with detailed explanations. Prepare effectively for success in your exam!

The correct answer, Health Maintenance Organization, represents a specific type of managed care health insurance plan. HMOs are designed to provide a more integrated and cost-effective approach to health care. They typically require members to select a primary care physician (PCP) who coordinates all of their healthcare services and refers them to specialists within the network when necessary. This structure aims to emphasize preventive care and reduce overall healthcare costs by providing a network of providers and encouraging the use of in-network services.

In contrast to the correct answer, the other options do not accurately describe the established concept associated with health insurance and managed care. "Health Management Office," "Health Monitoring Organization," and "Health Managed Operations" are not recognized terms in the context of health insurance frameworks and do not convey the same operational model as an HMO. Thus, the term Health Maintenance Organization captures the essential principles and functions of this type of health plan.

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