Which of the following BEST describes a 'staff model' HMO?
Explanation
HMO organizational models under the federal HMO Act and California Knox-Keene Act include: (1) STAFF model — physicians are W-2 employees of the HMO working in HMO-owned facilities; (2) GROUP model — the HMO contracts with one multi-specialty medical group, which may or may not see outside patients; (3) NETWORK model — the HMO contracts with multiple groups; (4) IPA (Independent Practice Association) model — the HMO contracts with an IPA whose individual physicians remain in private practice and see other patients. Option A describes the IPA model. Option C describes traditional indemnity, not an HMO. Option D is fabricated; HMOs are private (Medicare Advantage HMOs are private plans contracting with CMS, but the HMOs themselves are not federally owned). Staff-model HMOs are the most tightly integrated form.
Law Reference: California Health & Safety Code §1342 et seq. (Knox-Keene Act); HMO modelsPractice all 315 questions free — no signup required.
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