Health Insurance Group Model HMO

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Group Model HMO Defined

Health insurance group model HMO plans are health insurance HMO plans that contract with a single multi-specialty medical group to provide care to the HMO’s membership. The group practice may work exclusively with the HMO, or it may provide services to non-HMO patients as well.

The HMO pays the medical group a negotiated, per capita rate, which the group distributes among its physicians, usually on a salaried basis.