{
"package" : "hl7.terminology.r4@6.3.0",
"definition" : "(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.",
"system" : "http://terminology.hl7.org/CodeSystem/v3-HealthcareProviderTaxonomyHIPAA",
"property" : [ {
"_uri" : "http://hl7.org/fhir/concept-properties#status",
"code" : "status",
"valueCode" : "active"
}, {
"_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
"code" : "internalId",
"valueCode" : "13814"
} ],
"codesystem" : "207e7f88-e18e-59cf-958e-ea36573de246",
"concept_id" : "ccd519c7-4b8b-542c-b7ee-ba64fd5ebc1c",
"ancestors" : {
"302R00000N" : 0
},
"id" : "352f9df4-3601-44b2-88d8-ff12091593d9",
"code" : "302R00000N",
"display" : "Managed Care Organizations; Health Maintenance Organization",
"version" : "3.0.1"
}