What type of healthcare delivery model involves an HMO contracting with multiple physician groups?

What type of healthcare delivery model involves an HMO contracting with multiple physician groups?

• A. Group Model
• B. Network Model
• C. IPA Model
• D. Staff Model

Answer: (B)

The healthcare delivery model that involves a Health Maintenance Organization (HMO) contracting with multiple physician groups is referred to as the Network Model. In this approach, the HMO forms agreements with various separate physician groups that provide services to its members. This allows the HMO to offer a broader range of specialty services and access to different physicians, accommodating patients' needs more flexibly. The Network Model is characterized by its ability to adapt to different physician groups and its focus on providing a wide array of medical services through these varied affiliations. This model supports a diverse network while maintaining the necessary oversight and cost-containment that HMOs aim for. In contrast, other models such as the Group Model involve a single physician group that provides care predominantly to the HMO's enrolled members, while the IPA (Independent Practice Association) Model provides more autonomy to independent practitioners within a network framework. The Staff Model, on the other hand, directly employs physicians and provides care within the HMO’s facilities, limiting the range of provider choice for members. Each of these models operates under different structural and operational frameworks, making the Network Model distinct in its multi-group contracting approach.

The healthcare delivery model that involves a Health Maintenance Organization (HMO) contracting with multiple physician groups is referred to as the Network Model. In this approach, the HMO forms agreements with various separate physician groups that provide services to its members. This allows the HMO to offer a broader range of specialty services and access to different physicians, accommodating patients' needs more flexibly.

The Network Model is characterized by its ability to adapt to different physician groups and its focus on providing a wide array of medical services through these varied affiliations. This model supports a diverse network while maintaining the necessary oversight and cost-containment that HMOs aim for.

In contrast, other models such as the Group Model involve a single physician group that provides care predominantly to the HMO's enrolled members, while the IPA (Independent Practice Association) Model provides more autonomy to independent practitioners within a network framework. The Staff Model, on the other hand, directly employs physicians and provides care within the HMO’s facilities, limiting the range of provider choice for members. Each of these models operates under different structural and operational frameworks, making the Network Model distinct in its multi-group contracting approach.