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TeachMeFinance.com - explain Cost-Based Health Maintenance Organization Cost-Based Health Maintenance Organization The term 'Cost-Based Health Maintenance Organization ' as it applies to the area of Medicare in the United States can be defined as ' A type of managed care organization that will pay for all of the enrollees/members' medical care costs in return for a monthly premium, plus any applicable deductible or co-payment. The HMO will pay for all hospital costs (generally referred to as Part A) and physician costs (generally referred to as Part B) that it has arranged for and ordered. Like a health care prepayment plan (HCPP), except for out-of-area emergency services, if a Medicare member/enrollee chooses to obtain services that have not been arranged for by the HMO, he/she is liable for any applicable deductible and co-insurance amounts, with the balance to be paid '. Previous 5 Terms: Cost Rate Cost Report Cost Sharing Cost, insurance, freight (CIF) costal Next 5 Terms: Cost-based rates (electric) Cost-benefit analysis Cost-of-service regulation Costs (imports of natural gas) cothurnal About the author Mark McCracken Author: Mark McCracken is a corporate trainer and author living in Higashi Osaka, Japan. He is the author of thousands of online articles as well as the Business English textbook, "25 Business Skills in English". Copyright © 2005-2011 by Mark McCracken, All Rights Reserved. TeachMeFinance.com is an informational website, and should not be used as a substitute for professional medical, legal or financial advice. Information presented at TeachMeFinance.com is provided on an "AS-IS" basis. Please read the disclaimer for details.