Question

In your own words, explain open- and closed-panel health maintenance organizations (HMOs) and the continuum of managed care. Share an experience about either panel HMO or the continuum of managed care.

Answer 1

Open panel health maintenance organisation:

Require individuals physician participates in the program through their membership in an independent practice association.

Physician who participants in open panel association can see patient who not with organization.

An HMO that allows insured member to access provider outside the panel or network with some restriction like higher cost.

Closed panel health maintenance organization:

Closed panel HMO us a manager plan has exclusive arrangements with physicians that blocks them from seeing patients from another managed care organization.

HMO pay only for health services provided by physician or its network.

Experience in HMO:

1. HMO enter under medicare competition demonstration.

2. Its highly useful for me as a physician I can able to get all patient information as well I can get outside information also.

This HMO highly useful for me as a physician.