NAICS 621491 - HMO Medical Centers
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What is NAICS 621491
NAICS code 621491 covers establishments primarily engaged in providing outpatient medical services to subscribers of Health Maintenance Organizations (HMOs). These entities are typically owned by the HMO itself and focus on delivering comprehensive primary health care services through physicians and other medical staff. The services provided often span a broad range of outpatient care, including preventive, diagnostic, and treatment services tailored to maintain subscriber health within the HMO network. Some establishments under this code also combine the provision of medical care with underwriting health and medical insurance policies, making them unique integrated health service providers. Government agencies contract for these services to ensure accessible, managed care for eligible populations, often focusing on cost-effective, quality outpatient services that reduce the need for more costly inpatient care or emergency interventions. Such contracts support public health goals, improve beneficiary health outcomes, and promote efficient use of healthcare resources.
Industry Classification for NAICS 621491
This U.S. industry comprises establishments with physicians and other medical staff primarily engaged in providing a range of outpatient medical services to the health maintenance organization (HMO) subscribers with a focus generally on primary health care. These establishments are owned by the HMO. Included in this industry are HMO establishments that both provide health care services and underwrite health and medical insurance policies.
Breakdown for NAICS 621491
- Includes establishments owned by HMOs providing outpatient medical services primarily focused on primary health care.
- Covers entities that both provide medical services and underwrite health and medical insurance policies.
- Targets subscribers of health maintenance organizations with coordinated, managed care delivery.
- Typical size standards vary but often include small to medium outpatient facilities integrated within larger HMO networks.
- Services emphasize preventive care, diagnosis, treatment, and ongoing management of health conditions.
- Commonly involves integrated delivery systems combining healthcare provision and insurance underwriting.
Included Activities for NAICS 621491
- Providing primary care and outpatient medical services to enrolled HMO members.
- Coordinating preventive health screenings and wellness programs.
- Managing chronic diseases through outpatient treatment and follow-up care.
- Underwriting health and medical insurance policies linked to HMO services.
- Performing diagnostic testing and minor outpatient procedures.
- Maintaining electronic health records and care coordination systems.
- Delivering patient education and health promotion activities.
- Facilitating referrals to specialty care within the HMO network.
Business Types for NAICS 621491
- Health Maintenance Organization (HMO)-owned outpatient medical centers
- Integrated health service providers combining care and insurance underwriting
- Primary care clinics affiliated with HMOs
- Managed care organizations operating outpatient facilities
- Nonprofit HMO medical centers serving government populations
Subcategories for NAICS 621491
- Group hospitalization plans providing health care services
- Health maintenance organization (HMO) medical centers and clinics
- HMO (health maintenance organization) medical centers and clinics
Government Buyers for NAICS 621491
Federal agencies such as the Department of Veterans Affairs, the Department of Health and Human Services, and the Indian Health Service often procure HMO medical center services to provide comprehensive outpatient care to veterans, low-income populations, and tribal members. State and local health departments may also contract for these services to support community health initiatives and managed care programs. These agencies require HMO medical center services to facilitate coordinated, cost-effective healthcare delivery models that emphasize primary care and preventive services. Contracts help ensure that enrolled populations receive continuous, managed outpatient care, which aligns with government objectives to improve public health outcomes, control healthcare costs, and enhance access to quality medical services.
Contract Types & Procurement for NAICS 621491
Contracts for NAICS 621491 services typically include firm-fixed-price and cost-reimbursement agreements depending on the nature and duration of the services. Indefinite delivery/indefinite quantity (IDIQ) contracts are common for ongoing outpatient care services, allowing flexibility in service volume and timing. Procurement methods often involve competitive sealed bidding or negotiated procurements, especially when integrating care with insurance services. Contract values can vary widely based on the size of the population served and the scope of care, ranging from several hundred thousand dollars for small community-based centers to multi-million dollar awards for large regional HMO facilities. Performance-based contracting is increasingly utilized to incentivize quality outcomes and cost efficiency in outpatient care delivery.
Details for NAICS 621491
Explore the hierarchy and related codes for this industry
| NAICS Code | Industry Title |
|---|---|
| 62149 | Other Outpatient Care Centers |
| 6214 | Outpatient Care Centers |
| 621 | Ambulatory Health Care Services |
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