What does “True” indicate regarding an HMO's relationship to traditional insurance?

What does “True” indicate regarding an HMO's relationship to traditional insurance?

• A. It exists in a single state
• B. It is based on a volume of patients
• C. It is a managed care approach
• D. It is solely for government employees

Answer: (C)

In the context of health insurance, the designation of "True" indicating that the statement pertains to an HMO (Health Maintenance Organization) in relation to traditional insurance is accurately represented by the assertion that it is a managed care approach. HMOs are designed to control healthcare costs and improve quality through a predetermined care management strategy. Under this model, they focus on preventive care and require members to choose a primary care physician who coordinates their healthcare services. This management aspect is a foundational characteristic that differentiates HMOs from traditional insurance plans, which typically offer a broader array of healthcare options without such strict management controls. The managed care approach facilitated by HMOs often leads to greater efficiency in healthcare delivery and cost savings for both consumers and providers, thereby directly aligning with the evolving models of healthcare designed to promote better patient outcomes while controlling costs.

In the context of health insurance, the designation of "True" indicating that the statement pertains to an HMO (Health Maintenance Organization) in relation to traditional insurance is accurately represented by the assertion that it is a managed care approach.

HMOs are designed to control healthcare costs and improve quality through a predetermined care management strategy. Under this model, they focus on preventive care and require members to choose a primary care physician who coordinates their healthcare services. This management aspect is a foundational characteristic that differentiates HMOs from traditional insurance plans, which typically offer a broader array of healthcare options without such strict management controls.

The managed care approach facilitated by HMOs often leads to greater efficiency in healthcare delivery and cost savings for both consumers and providers, thereby directly aligning with the evolving models of healthcare designed to promote better patient outcomes while controlling costs.