HMOs Rise From The American Health Care Rubble
The analysis found that “particularly health maintenance organization (HMO) plans and exclusive provider organization (EPO) plans—have grown steadily since 2014 and now account for 82 percent of plan type offerings.” – Lewis & Ellis, LLC
HMOs are simply narrow networks, nothing more and nothing less. There is no coverage at all for out-of-network care except for emergent care.
PPO plans are more expensive than HMO plans. To stay competitive in the market insurers are expanding HMO plan offerings.
“This is part of an overall national trend to move away from PPO plans that come with high costs to consumers and offer little in the way of coordinated care”
– Blue Cross & Blue Shield of Illinois – Source: CHICAGO (FOX 32 News) November 2015
The individual health insurance market is growing faster than ever. There are over 21 million Americans on the government health market place plans. Almost all of them are on a HMO plan.
Government network adequacy mandates are designed to ensure broad access to care for ACA qualified health plans.
