Arizona Life and Health Practice Exam

In a staff model HMO, which of the following pharmacy options is commonly available to enrollees?

1. Independent pharmacy network

2. Mail order pharmacy

3. In-house pharmacy

4. Retail pharmacy discounts

The correct answer is: In-house pharmacy

In a staff model Health Maintenance Organization (HMO), the most commonly available pharmacy option for enrollees is typically an in-house pharmacy. This model features a network where physicians are employed directly by the HMO, and the facilities and services, including pharmacies, are usually part of the HMO’s system. The in-house pharmacy allows for streamlined communication between healthcare providers and pharmacists, which can lead to more effective medication management and patient care. Patients experience convenience, as the pharmacy is located within the medical center or clinic, making access to prescriptions easier and often quicker. In contrast, while some other options like independent pharmacy networks, mail order pharmacies, and retail pharmacy discounts may be offered under different HMO models or in different health plans, they are not the primary features of a staff model HMO. The structure of this model prioritizes integrated care within its own facilities, often resulting in an in-house pharmacy being the central option for enrollees.