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What Is a Gatekeeper? Definition in Healthcare and Examples
https://www.investopedia.com/ask/answers/08/gatekeeper.asp
There are two definitions of the term gatekeeper. One is used to describe the role of people in the health insurance sector. The other refers to long-term care plans. The term gatekeeper describes the person in charge of a patient’s treatment when it's used in relation to health insurance. Anyone who receives … See more
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Gatekeeper - RCM Glossary | MD Clarity
https://www.mdclarity.com/glossary/gatekeeper
WebThe gatekeeper acts as a primary point of contact and decision-maker, responsible for managing and coordinating a patient's healthcare journey. This term is often …
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Health maintenance organization - Wikipedia
https://en.wikipedia.org/wiki/Health_maintenance_organization
OverviewOperationCost containmentHistoryTypesRegulationLegal responsibilitiesSee alsoHMOs often require members to select a primary care physician (PCP), a doctor who acts as a gatekeeper to direct access to medical services but this is not always the case. PCPs are usually internists, pediatricians, family doctors, geriatricians, or general practitioners (GPs). Except in medical emergency situations, patients need a referral from the PCP in order to see a specialist or other doctor, and the gatekeeper cannot authorize that referral unless the HMO guidelines dee… definition
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What is a health maintenance organization? | healthinsurance.org
https://www.healthinsurance.org/glossary/health-maintenance-organizations-hmos/
WebHealth maintenance organizations, or HMOs, are a type of health insurance plan. If your coverage is an HMO, you’ll need to pick a primary care physician (or your insurer will …
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The Gatekeeper Concept | How HMOs Operate | California …
https://www.gmlawyers.com/hmo-gatekeeper-concept/
WebApr 9, 2024 · The gatekeeper concept is a fundamental aspect of how HMOs operate. In this model, a primary care provider (PCP) acts as the gatekeeper to all specialized … definition
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UnitedHealthcare Gatekeeper Plan | OptumCare
https://lookup.optumcare.com/unitedhealthcare-gatekeeper-plan/
WebDec 31, 2014 · In 2015, UnitedHealthcare launched a $0 premium HMO plan, in addition to their existing HMO plan. These plans are very similar in benefits, however, the $0 premium plan, referred to as the “gatekeeper … definition
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HMO: Definition, How It Works, Benefits, …
https://www.verywellhealth.com/what-is-an-hmo-how-does-it-work-1738661
WebFeb 14, 2024 · A health maintenance organization (HMO) is a type of health insurance that employs or contracts with a network of physicians or medical groups to offer care at set (and often reduced) costs. HMOs … gatekeeper
gatekeeper
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Health Maintenance Organization - StatPearls - NCBI …
https://www.ncbi.nlm.nih.gov/books/NBK554454/
WebMar 6, 2023 · Health maintenance organizations (HMOs) are a type of managed care health insurance plan that features a network of health care providers that treat a patient population for a prepaid cost. [1] . …
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Health Maintenance Organization (HMO): What It Is, Pros and Cons
https://www.investopedia.com/terms/h/hmo.asp
WebDec 16, 2023 · A health maintenance organization (HMO) is a network or organization that provides health insurance coverage for a monthly or annual fee. An HMO limits …
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HMO insurance - A complete guide - Insure.com
https://www.insure.com/health-insurance/hmo-insurance/
WebSep 21, 2021 · An HMO is a health insurance plan that contracts with a provider network of specific doctors, hospitals, and other medical professionals. An HMO typically … definition
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