Definition: Insurance HMO: An arrangement in which patients are required to pay for their own health insurance coverage, including deductibles and copays, with a network of participating doctors and hospitals that offers services at discounted rates. This type of plan often includes coverage for chronic conditions like diabetes or heart disease and more expensive treatments such as chemotherapy. Definition: Insurance HMOs are arrangements in which patients choose to pay for their own health insurance coverage, including deductibles and copays with a network of participating doctors and hospitals. Patients pay out-of-pocket costs for medical expenses, often with reduced rates compared to private insurance plans. They generally offer services at discounted rates. Insurance HMOs may also have additional benefits such as discounts on prescriptions or dental care. The term 'insurance hmo' is used in healthcare policy language to refer to an arrangement where patients pay for their own health insurance coverage, including deductibles and copays with a network of participating doctors and hospitals that offers services at discounted rates. This type of plan often includes coverage for chronic conditions like diabetes or heart disease, more expensive treatments such as chemotherapy, and it is often referred to as a managed care organization (MCO) because the patient pays out-of-pocket for medical expenses. The term 'insurance hmo' has been used extensively in healthcare policy language for decades. It was first coined by the U.S. government in the 1980s when they started requiring patients to choose between private insurance and a managed care organization (MCO). This type of plan is still in use today, with some variations depending on the specific rules and regulations within each state. The insurance hmo concept has its roots in the 20th century when government programs such as Medicaid were established to provide health insurance coverage for low-income individuals. However, the term was not widely adopted until after the implementation of the Affordable Care Act (ACA) in 2014, which expanded access to affordable healthcare through a mix of government assistance and private insurance. In summary, Insurance HMO is an arrangement in which patients pay their own health insurance coverage including deductibles, copays, and services at discounted rates with a network of participating doctors and hospitals. This type of plan often includes coverage for chronic conditions like diabetes or heart disease, more expensive treatments, and it has its roots in the ACA to provide affordable healthcare to low-income individuals.
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