Insurance Glossary

Insurance Term - Group Model HMO

An HMO that contracts with a single multi-specialty medical group to provide medical care to the HMO’s membership is known as a Group Model HMO. 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 at a negotiated, per capita rate, which the group distributes among its physicians, usually on a salaried basis.

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