Health Care Administration Practice Exam

Group Model involves the HMO contracting with a single multispecialty medical group to deliver care to enrolled members. In this setup, the entire care delivery is organized through that one group, which coordinates patient care, referrals, and management under the contract, often with capitation or negotiated payments to the group. This differs from a staff model, where the HMO directly employs physicians and runs its own clinics; from an open panel, which allows access to a broader set of providers beyond a single group; and from an independent practice association, where the HMO contracts with an IPA that represents many independent physicians rather than one group.