NAICS Code 621999-19 - Health Maintenance Organizations

Marketing Level - NAICS 8-Digit

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Looking for more companies? See NAICS 621999 - All Other Miscellaneous Ambulatory Health Care Services - 50,309 companies, 286,873 emails.

NAICS Code 621999-19 Description (8-Digit)

Health Maintenance Organizations (HMOs) are a type of managed care organization that provides healthcare coverage to its members through a network of healthcare providers. HMOs are designed to provide cost-effective healthcare services to their members by emphasizing preventive care and early detection of health problems. HMOs typically require members to choose a primary care physician (PCP) who is responsible for coordinating all of their healthcare needs. The PCP serves as a gatekeeper, authorizing referrals to specialists and other healthcare providers as needed. HMOs also typically require members to use healthcare providers within their network in order to receive coverage, although some plans may allow for out-of-network care in certain circumstances.

Parent Code - Official US Census

Official 6‑digit NAICS codes serve as the parent classification used for government registrations and documentation. The marketing-level 8‑digit codes act as child extensions of these official classifications, providing refined segmentation for more precise targeting and detailed niche insights. Related industries are listed under the parent code, offering a broader context of the industry environment. For further details on the official classification for this industry, please visit the U.S. Census Bureau NAICS Code 621999 page

Tools

Tools commonly used in the Health Maintenance Organizations industry for day-to-day tasks and operations.

  • Electronic Health Records (EHRs)
  • Claims processing software
  • Provider network management software
  • Utilization management software
  • Disease management software
  • Health risk assessment tools
  • Patient engagement tools
  • Telemedicine platforms
  • Quality improvement tools
  • Population health management tools

Industry Examples of Health Maintenance Organizations

Common products and services typical of NAICS Code 621999-19, illustrating the main business activities and contributions to the market.

  • Preventive care services
  • Primary care physician services
  • Specialist care services
  • Prescription drug coverage
  • Laboratory services
  • Diagnostic imaging services
  • Mental health services
  • Substance abuse treatment services
  • Maternity care services
  • Emergency care services

History

A concise historical narrative of NAICS Code 621999-19 covering global milestones and recent developments within the United States.

  • Health Maintenance Organizations (HMOs) originated in the early 20th century in the United States as a way to provide affordable healthcare to workers in specific industries. The first HMO was established in 1929 by the Ross-Loos Medical Group in Los Angeles, California. In the 1970s, the US government passed legislation that encouraged the growth of HMOs as a way to control healthcare costs. This led to a significant increase in the number of HMOs in the US, and by the 1990s, they had become the dominant form of managed care in the country. Today, HMOs are a common form of healthcare delivery in the US, and they have also been adopted in other countries around the world. Recent history of HMOs in the US has been marked by a number of changes and challenges. In the 1990s, HMOs came under criticism for limiting patients' access to care and for providing substandard care in some cases. This led to a backlash against HMOs, and many patients and employers began to seek out other forms of healthcare delivery. In response, HMOs began to change their business models, offering more flexible plans and expanding their networks of providers. Today, HMOs continue to be an important part of the US healthcare system, and they are expected to play a key role in the ongoing efforts to reform the system and improve access to care.