How does a Health Maintenance Organization (HMO) provide its services?

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A Health Maintenance Organization (HMO) provides its services primarily through direct employment or contracts with selected healthcare providers. This means that HMOs establish a network of physicians, specialists, and hospitals that are part of the organization. Patients who are members of an HMO typically choose their healthcare providers from this pre-selected network.

By working within a closed network of providers, HMOs can manage costs more effectively and ensure that their members receive a standardized level of care. This structure allows the HMO to negotiate lower rates with providers and to focus on preventive care, which can help reduce healthcare costs overall.

In contrast, other options suggest greater flexibility in provider choice or different payment structures, which do not align with the HMO model. For instance, allowing patients full freedom to choose any provider is characteristic of fee-for-service plans rather than HMOs. Partnering exclusively with private hospitals does not accurately describe the HMO's operational framework, as HMOs can include a variety of providers, including those affiliated with public health systems. Lastly, requiring high deductibles is more typical of certain insurance plans, like high-deductible health plans, rather than the HMO model, which often emphasizes lower out-of-pocket costs for members through copayments rather than high deduct

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