Arizona Health Insurance Practice Exam

Which of the following typically characterizes a staff model HMO?

1. Contracts with independent physicians

2. Employs physicians directly

3. Provides no preventive care services

4. Has no set fee structure

The correct answer is: Employs physicians directly

A staff model health maintenance organization (HMO) is characterized by the direct employment of physicians. In this model, the organization employs its own doctors and healthcare providers, allowing for a more integrated approach to patient care. These employed physicians typically work in facilities owned by the HMO and are accountable to the organization, fostering a cohesive healthcare delivery system within the HMO's network. This structure allows the HMO to maintain greater control over the care provided to its members, ensuring that preventive services and comprehensive care options are prioritized. Unlike other HMO models that may contract with independent physicians who operate on their own, the staff model places the physician directly within the organization, streamlining management and facilitating better coordination of care for patients.