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TeachMeFinance.com - explain Risk-Based Health Maintenance Organization-Competitive Medical Plan Risk-Based Health Maintenance Organization-Competitive Medical Plan The term 'Risk-Based Health Maintenance Organization-Competitive Medical Plan ' as it applies to the area of Medicare in the United States can be defined as ' A type of managed care organization. After any applicable deductible or co-payment, all of an enrollee/member's medical care costs are paid for in return for a monthly premium. However, due to the 'lock-in' provision, all of the enrollee/member's services (except for out-of-area emergency services) must be arranged for by the risk-HMO. Should the Medicare enrollee/member choose to obtain service not arranged for by the plan, he/she will be liable for the costs. Neither the HMO nor the Medicare program will pay for services from providers that are not part of the HMO's health care system/network'. Previous 5 Terms: Risk communication Risk management Risk Management Agency Risk reduction Risk-based decisionmaking Next 5 Terms: Risk-benefit analysis risk-benefit ratio Risk-informed decisionmaking Risk-informed regulation Risk-significant 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.