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With HMOs — health maintenance organizations — you’re expected to stay in the network for most care, and you often need a referral to see a specialist.

The organization operates like a health maintenance organization, in which it is paid a fixed sum to care for someone through a closed network of hospitals and doctors.

Coverage of telehealth will be extended to June 30, 2025, by the Maryland Medical Assistance Program and certain insurers, nonprofit health services plans and health maintenance organizations.

Medicare Advantage began to provide continuing care to seniors in nonprofit health maintenance organizations.

For the study, published Wednesday in the medical journal BMJ, researchers examined the health records of more than 1.9 million members of Maccabi Healthcare Services, one of Israel’s largest health maintenance organizations.