Health Maintenance Organization (HMO)


Illustrative caselaw

A health care delivery system where the provider offers a participant a comprehensive range of health services for a fixed premium. The recipient agrees to use only these services (except in cases of emergency) and thereby obtains a broader set of benefits at less cost.
See, e.g. Rush Prudential HMO, Inc. v. Moran, 536 U.S. 355 (2002) and Pegram v. Herdrich 530 U.S. 211 (2000).