Which of the following is a characteristic of a health maintenance organization (HMO)?
A)Exclusion of outpatient care
B)Provision of benefits on a reimbursement basis
C)Payment of physicians on a flat salary basis
D)Payment of physicians on a fee-for-service basis
E)Payment of physicians depending on the number of patients seen

Question

Quizplus · Accepted Answer

HMOs typically pay their physicians on a flat salary basis, which means that they receive a set amount of money regardless of how many patients they see or services they provide. This is different from fee-for-service payment, where physicians are paid based on the number of services they provide, and can create a financial incentive for doctors to order more tests or procedures than necessary. HMOs also typically require members to choose a primary care physician who coordinates their care and provides referrals to specialists, and may have restrictions on using out-of-network providers.

Which of the Following Is a Characteristic of a Health