Health Maintenance Organizations
Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)
Independent Practice Associations
A partnership, corporation, association, or other legal entity that enters into an arrangement for the provision of services with persons who are licensed to practice medicine, osteopathy, and dentistry, and with other care personnel. Under an IPA arrangement, licensed professional persons provide services through the entity in accordance with a mutually accepted compensation arrangement, while retaining their private practices. Services under the IPA are marketed through a prepaid health plan. (From Facts on File Dictionary of Health Care Management, 1988)
Fee-for-Service Plans
Method of charging whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used. (From Discursive Dictionary of Health Care, 1976)
Capitation Fee
Preferred Provider Organizations
Arrangements negotiated between a third-party payer (often a self-insured company or union trust fund) and a group of health-care providers (hospitals and physicians) who furnish services at lower than usual fees, and, in return, receive prompt payment and an expectation of an increased volume of patients.
Economic Competition
Managed Care Programs
Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.
Health Care Sector
Health Services Research
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
Cost Control
The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)
Insurance Selection Bias
Health Facility Merger
Northwestern United States
Health Benefit Plans, Employee
Employer Health Costs
Quality of Health Care
Medicare
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
Insurance, Health
Health Status
Primary Health Care
Cost Sharing
Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)
Group Practice, Prepaid
Delivery of Health Care
Health Care Surveys
Marketing of Health Services
Competitive Medical Plans
Alternative health care delivery mechanisms, such as PREFERRED PROVIDER ORGANIZATIONS or other health insurance services or prepaid plans (other than HEALTH MAINTENANCE ORGANIZATIONS), that meet Medicare qualifications for a risk-sharing contract. (From Facts on File Dictionary of Health Care Management, 1988)
Medicare Part C
The Balanced Budget Act (BBA) of 1997 establishes a Medicare+Choice program under part C of Title XVIII, Section 4001, of the Social Security Act. Under this program, an eligible individual may elect to receive Medicare benefits through enrollment in a Medicare+Choice plan. Beneficiaries may choose to use private pay options, establish medical savings accounts, use managed care plans, or join provider-sponsored plans.
Insurance, Physician Services
Utilization Review
Medicaid
Health Expenditures
Risk Sharing, Financial
Any system which allows payors to share some of the financial risk associated with a particular patient population with providers. Providers agree to adhere to fixed fee schedules in exchange for an increase in their payor base and a chance to benefit from cost containment measures. Common risk-sharing methods are prospective payment schedules (PROSPECTIVE PAYMENT SYSTEM), capitation (CAPITATION FEES), diagnosis-related fees (DIAGNOSIS-RELATED GROUPS), and pre-negotiated fees.
Health Services Accessibility
Gatekeeping
Physician Incentive Plans
Group Practice
Data Collection
Economics, Medical
Ambulatory Care
Insurance Claim Review
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
Organizations, Nonprofit
Insurance Benefits
Health Care Costs
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
Public Health
Insurance Coverage
State Health Plans
Deductibles and Coinsurance
Cost-sharing mechanisms that provide for payment by the insured of some portion of covered expenses. Deductibles are the amounts paid by the insured under a health insurance contract before benefits become payable; coinsurance is the provision under which the insured pays part of the medical bill, usually according to a fixed percentage, when benefits become payable.
Drug Costs
Hospitals, Proprietary
Insurance, Health, Reimbursement
Outcome Assessment (Health Care)
Attitude of Health Personnel
Costs and Cost Analysis
Health Promotion
Drug Utilization Review
Formal programs for assessing drug prescription against some standard. Drug utilization review may consider clinical appropriateness, cost effectiveness, and, in some cases, outcomes. Review is usually retrospective, but some analysis may be done before drugs are dispensed (as in computer systems which advise physicians when prescriptions are entered). Drug utilization review is mandated for Medicaid programs beginning in 1993.
Health Services Needs and Demand
Cost Savings
Case Management
A traditional term for all the activities which a physician or other health care professional normally performs to insure the coordination of the medical services required by a patient. It also, when used in connection with managed care, covers all the activities of evaluating the patient, planning treatment, referral, and follow-up so that care is continuous and comprehensive and payment for the care is obtained. (From Slee & Slee, Health Care Terms, 2nd ed)
Health Policy
Physician's Practice Patterns
Retrospective Studies
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Health Services Misuse
Medicine
Logistic Models
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Formularies as Topic
Works about lists of drugs or collections of recipes, formulas, and prescriptions for the compounding of medicinal preparations. Formularies differ from PHARMACOPOEIAS in that they are less complete, lacking full descriptions of the drugs, their formulations, analytic composition, chemical properties, etc. In hospitals, formularies list all drugs commonly stocked in the hospital pharmacy.
Cohort Studies
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Questionnaires
Patient Satisfaction
Quality Indicators, Health Care
Socioeconomic Factors
Regression Analysis
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
Health Care Reform
Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.
Health Surveys
Cross-Sectional Studies
Mass Screening
Quality Assurance, Health Care
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Health Behavior
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
Diabetes Mellitus
Age Factors
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
World Health Organization
Demography
Cost-Benefit Analysis
A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.
Insurance, Pharmaceutical Services
Physicians, Family
Multivariate Analysis
Odds Ratio
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
Risk Adjustment
The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)
Sampling Studies
Prevalence
Sex Factors
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
Program Evaluation
Health Knowledge, Attitudes, Practice
Interviews as Topic
Health Personnel
Prospective Studies
Risk Factors
Emergency Service, Hospital
Drug Utilization
Health Education
Self Care
Guideline Adherence
Practice Guidelines as Topic
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Confidence Intervals
Oral Health
Ethnic Groups
Treatment Outcome
Evaluation Studies as Topic
Group Purchasing
Medical Records Systems, Computerized
Longitudinal Studies
Databases, Factual
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
Chronic Disease
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Risk
Occupational Health
Environmental Health
Health Status Disparities
Pregnancy
Family Practice
Follow-Up Studies
National Health Programs
Delivery of Health Care, Integrated
A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)
Case-Control Studies
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
Health Care Rationing
Health Priorities
Public Health Practice
Chi-Square Distribution
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
Community Health Services
Use of out-of-plan services by Medicare members of HIP. (1/1026)
Use of out-of-plan services in 1972 by Medicare members of the Health Insurance Plan of Greater New York (HIP) is examined in terms of the demographic and enrollment characteristics of out-of-plan users, types of services received outside the plan, and the relationship of out-of-plan to in-plan use. Users of services outside the plan tended to be more seriously ill and more frequently hospitalized than those receiving all of their services within the plan. The costs to the SSA of providing medical care to HIP enrollees are compared with analogous costs for non-HIP beneficiaries, and the implications for the organization and financing of health services for the aged are discussed. (+info)Hypertension, antihypertensive medication use, and risk of renal cell carcinoma. (2/1026)
To investigate whether diuretic medication use increases risk of renal cell carcinoma (RCC), the authors conducted a case-control study of health maintenance organization members in western Washington State. Cases (n = 238) diagnosed between January 1980 and June 1995 were compared with controls (n = 616) selected from health maintenance organization membership files. The computerized health maintenance organization pharmacy database provided information on medications prescribed after March 1977. Additional exposure information was collected from medical records. For women, use of diuretics was associated with increased risk of RCC (odds ratio (OR) = 1.8, 95% confidence interval (CI) 1.0-3.1), but the association was not independent of a diagnosis of hypertension (adjusted for hypertension, OR = 1.1, 95% CI 0.5-2.1). Similarly, nondiuretic antihypertensive use was associated with increased risk, but only when unadjusted for hypertension. For men, neither diuretic nor nondiuretic antihypertensive use was associated with risk of RCC. A diagnosis of hypertension was clearly associated with RCC risk for women (OR = 2.5, 95% CI 1.2-5.1), but not men (OR = 1.3, 95% CI 0.7-2.5). High systolic and diastolic blood pressures were associated with increased risk in both sexes. These results do not support the hypothesis that use of diuretic medication increases RCC risk; they are more consistent with an association between RCC and high blood pressure. (+info)The changing elderly population and future health care needs. (3/1026)
The impending growth of the elderly population requires both fiscal and substantive changes in Medicare and Medicaid that are responsive to cost issues and to changing patterns of need. More emphasis is required on chronic disease management, on meaningful integration between acute and long-term care services, and on improved coordination between Medicare and Medicaid initiatives. This paper reviews various trends, including the growth in managed-care approaches, experience with social health maintenance organizations and Program of All-Inclusive Care for the Elderly demonstrations, and the need for a coherent long-term care policy. Such policies, however, transcend health care and require a broad range of community initiatives. (+info)Raising the bar: the use of performance guarantees by the Pacific Business Group on Health. (4/1026)
In 1996 the Pacific Business Group on Health (PBGH) negotiated more than two dozen performance guarantees with thirteen of California's largest health maintenance organizations (HMOs) on behalf the seventeen large employers in its Negotiating Alliance. The negotiations put more than $8 million at risk for meeting performance targets with the goal of improving the performance of all health plans. Nearly $2 million, or 23 percent of the premium at risk, was refunded to the PBGH by the HMOs for missed targets. The majority of plans met their targets for satisfaction with the health plan and physicians, as well as cesarean section, mammography, Pap smear, and prenatal care rates. However, eight of the thirteen plans missed their targets for childhood immunizations, refunding 86 percent of the premium at risk. (+info)Financial incentives and drug spending in managed care. (5/1026)
This study estimates the impact of patient financial incentives on the use and cost of prescription drugs in the context of differing physician payment mechanisms. A large data set was developed that covers persons in managed care who pay varying levels of cost sharing and whose physicians are compensated under two different models: independent practice association (IPA)-model and network-model health maintenance organizations (HMOs). Our results indicate that higher patient copayments for prescription drugs are associated with lower drug spending in IPA models (in which physicians are not at risk for drug costs) but have little effect in network models (in which physicians bear financial risk for all prescribing behavior). (+info)Waking the health plan giant: Group Health Cooperative stops counting sheep and starts counting key tobacco indicators. (6/1026)
Implementing a comprehensive approach to decreasing tobacco use in a large health plan requires hard work and commitment on the part of many individuals. We found that major organisational change can be accomplished and sustained. Keys to our success included our decision to remove access barriers to our cessation programmes (including cost); obtaining top leadership buy-in; identifying accountable individuals who owned responsibility for change; measuring key processes and outcomes; and finally keeping at it tenaciously through multiple cycles of improvement. (+info)Health maintenance organizations in developing countries: what can we expect? (7/1026)
Health maintenance organizations (HMOs) are a relatively new and alternative means of providing health care, combining a risk-sharing (insurance) function with health service provision. Their potential for lowering costs has attracted great interest in the USA and elsewhere, and has raised questions regarding their applicability to other settings. Little attention, however, has been given to critically reviewing the experience with HMOs in other countries, particularly concerning their introduction to settings other than the USA. This paper first reviews the current experience of HMOs in low- and middle-income countries, including Argentina, Bolivia, Brazil, Colombia, Ecuador, Uruguay, Chile and Indonesia. Secondly, the paper reviews the USA experience with HMOs: prerequisites for the establishment of HMOs in the USA are identified and discussed, followed by a review of the performance of HMOs in terms of cost containment, integration of care and quality of care for the elderly and poor. The analysis concludes that difficulties may arise when implementing HMOs in developing countries, and that potential adverse effects on the overall health care delivery system may occur. These should be avoided by careful analyses of a nation's health care system. (+info)The corporate practice of health care ... a panel discussion. (8/1026)
The pros and cons of treating health care as a profit-making business got a lively airing in Boston May 16, when the Harvard School of Public Health's "Second Conference on Strategic Alliances in the Evolving Health Care Market" presented what was billed as a "Socratic panel." The moderator was Charles R. Nesson, J.D., a Harvard Law School professor of 30 years' standing whose knack for guiding lively discussions is well known to viewers of such Public Broadcasting Service series as "The Constitution: That Delicate Balance. "As one panelist mentioned, Boston was an interesting place for this conversation. With a large and eminent medical establishment consisting mostly of traditionally not-for-profit institutions, the metropolis of the only state carried in 1972 by liberal Presidential candidate George McGovern is in one sense a skeptical holdout against the wave of aggressive investment capitalism that has been sweeping the health care industry since the 1994 failure of the Clinton health plan. In another sense, though, managed care-heavy Boston is an innovative crucible of change, just like its dominant HMO, the not-for-profit but merger-minded Harvard Pilgrim Health Care. Both of these facets of Beantown's health care psychology could be discerned in the comments heard during the panel discussion. With the permission of the Harvard School of Public Health--and asking due indulgence for the limitations of tape-recording technology in a room often buzzing with amateur comment--MANAGED CARE is pleased to present selections from the discussion in the hope that they will shed light on the business of health care. (+info)
Health Maintenance Organizations financial definition of Health Maintenance Organizations
NRS: CHAPTER 695C - HEALTH MAINTENANCE ORGANIZATIONS
Health Maintenance Organizations Arlington VA - health maintenance organizations, Arlington VA health plan, Arlington VA ...
Tips From Other Journals - American Family Physician
Health Maintenance Organization (HMO)
Sec. 62D.12 MN Statutes
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Health Maintenance Organizations (HMOs)
4685.1010 - MN Rules Part
health maintenance organizations - Boulder, CO - Daily Camera
Jobs in a Health Maintenance Organization via Ashford and McGuire Consulting - 30 October, 2015
Trends in overweight from 1980 through 2001 among preschool-aged children enrolled in a health maintenance organization. |...
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Hospital Days per Cancer Patient during the Last Month of Life - Dartmouth Atlas of Health Care
A comprehensive influenza campaign in a managed care setting. | Base documentaire | BDSP
GLOSSARY OF HEALTH TERMS - SFGate
Health Insurance Off the Grid | Deductible | Health Maintenance Organization
Max B. Medary, MD
Alka Aggarwal, MD
D. Raymond Knapp, MD
National Health Interview Survey, 1975: Health Maintenance Organization (HMO) Supplement
Health Maintenance Organizations (HMOs).... : Critical Reasoning (CR)
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Statutes & Constitution
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Health maintenance organization | Our Healthcare Sucks
INSURANCE CODE CHAPTER 843. HEALTH MAINTENANCE ORGANIZATIONS
Accountable Care Systems
Use of health services by children of smokers and nonsmokers in a health maintenance organization
Chapter 641 Section 3915 - 2016 Florida Statutes - The Florida Senate
Starting Off Any Adverse Health Maintenance Organization
Competition, Payer, and Hospital Quality
Issue Brief No. 28
Building Resilience - Benton Franklin Health District
Statistics: Dansk Kennel Klub (DENMARK)
Институт педагогики
Exclusive: Costs to public of $84,000 hep C drug outrageous - Kaiser | Reuters
The Main Forms Of Managed Care - tribunedigital-thecourant
Statutes & Constitution
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FAQs on HMO Plans - Outsource2india
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Large companies expected to see big increases in HMO insurance costs next year, study says - California Hospital Association
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Group Health Cooperative Scored Above Regional Average in 11 of 15 Qualit... ( SEATTLE July 20 --...)
Medical Assistant - Primary Care Float Per Diem East King Job in Bellevue, WA at Group Health Cooperative, 575915544 | Americas...
Post-traumatic stress disorder and somatization symptoms : a prospective study. | Base documentaire | BDSP
CMS1191574 - Centers for Medicare & Medicaid Services
Survey: Health insurers show advances in NP credentialing, reimbursement - Drug Store News
Kaiser Permanente Study Shows Minorities Had Lower Risk of Coronary Heart Disease than Whites :: By :: Article :: Super Doctors
MEDICARE HMOS: State Senator Calls For Federal Action To Halt Withdrawals | California Healthline
IDOI: Limited Service Health Maintenance Organization
14 topics
Questions & Answers About Vision Insurance - First Eye Care Downtown Dallas
1. Healthcare System in the United States
Dean lends hand to Group Health caregivers - seattlepi.com
Fighting Strokes at Lightspeed - Kaiser Permanente Look insideKP Northern California
United Healthcare Exclusive Provider Organization (EPO) | MNCPPC, MD
Kaiser Permanente Approves $22 Million in Community Benefit Grants in Second Quart... ( Focus on Community Health an.....
What are (a) preferred provider organizations and (b) health mai
Transforming the Health Care Response to Domestic Violence - Kaiser Permanente Share
California State Auditor - Report 2001-126 Summary - May 2002
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IBIS-PH -
Related Health Indicator Reports - Managed Care (CAHPS) Survey: Patient Ratings of Health Plan Experience
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DMS Memo on Telehealth & Immunizations for State Group Insurance - Katherine Fernandez Rundle
Dental Coverage - Visalia CA & Tulare CA - DG Insurance Agency, Inc.
Dental Coverage - Champaign IL & Urbana IL - Prairieland Insurance Group, LLC
IBIS-PH -
Health Indicator Report - Managed Care (CAHPS) Survey: Experience with Customer Service
Philips lands contract from Kaiser Permanente
Florida Pricing Transparency | Blake Medical Center | Bradenton, FL
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Kaiser Permanente Pharmacy Locations & Hours Near Kensington, MD - YP.com
Little Pharmacy: Canadian pharmacy nolvadex no prescription prime quality!
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Kaiser Permanente research « A History of Total Health | Kaiser Permanente History Blog
Neuro Psychologist, PhD, 1.0 FTE in Tacoma, WA for Kaiser Permanente - Washington Permanente Medical Group
FindACase
| Connolly v. Aetna U.S. Healthcare
Health Maintenance: Be Healthy, Stay Healthy - Love Wellness
Biased selection and regression toward the mean in three medicare HMO demonstrations: A survival analysis of enrollees and...
Kaiser Permanente: KP DC Bronze 5000/30%/HSA/Dental/PedDental This is only a summary.
Kaiser Permanente Awards $195,000 to HIV/AIDS Organizations in Northern California; $362,500 In Grants Statewide Brings Total...
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Jacquelyn N. | American Lung Association
Calif. mental health clinicians to Kaiser Permanente: Let us care for patients - Peoples World
Medicaid
Exclusive provider organization (EPO). *Health maintenance organization (HMO). *Preferred provider organization (PPO) ... Oregon Medicaid health experiment and controversy[edit]. Main article: Oregon Medicaid health experiment ... "Medicaid and the Children's Health Insurance Program (CHIP) Offer Free Or Low-Cost Health Coverage To Children And Families" ( ... The lottery enabled studies to accurately measure the impact of health insurance on an individual's health and eliminate ...
Massachusetts health care reform
Exclusive provider organization (EPO). *Health maintenance organization (HMO). *Preferred provider organization (PPO) ... Fallon Community Health Plan, Harvard Pilgrim Health Care, Health New England, Minuteman Health, Neighborhood Health Plan (a ... "Boston Public Health Commission. Retrieved 2011-07-11.. *^ "Romney's Mission: Massachusetts Health Care". NPR. Retrieved 2011- ... "ACT Health Care Reform". Retrieved 2011-07-11.. *^ "Health Care Reform in Massachusetts". Worcester, Massachusetts: University ...
Medicare (United States)
Medicare added the option of payments to health maintenance organizations (HMO)[11] in the 1970s. The government added hospice ... Most Part C plans are traditional health maintenance organizations (HMOs) that require the patient to have a primary care ... Other organizations can also accredit hospitals for Medicare.[citation needed] These include the Community Health Accreditation ... The sponsor of a Part C plan could be an integrated health delivery system or spin-out, a union, a religious organization, an ...
Columbia, Maryland
The Columbia Medical Plan was founded in 1967 as a health maintenance organization (HMO) available to citizens of Columbia. In ... Health Maintenance Organizations: Dimensions of Performance. p. 345. Rousuck, J. Wynn (29 September 1999). "Adkins discovers ... Columbia's open classrooms, interfaith centers, and the then-novel idea of a health maintenance organization (HMO) with a group ... The organization formed the Interfaith Housing Corporation (now the Columbia Housing Corporation) to purchase 300 units of low ...
Two-sided market
Example markets include credit cards (composed of cardholders and merchants); health maintenance organizations (patients and ... The organization that creates value primarily by enabling direct interactions between two (or more) distinct types of ... Neither cross-side network effects nor same-side network effects are sufficient for an organization to be a multi-sided ... Examples of well known companies employing two-sided markets include such organizations as American Express (credit cards), ...
Howard County General Hospital
Medical group practice and health maintenance organizations. Information Resources Press. p. 79. United States Congress Senate ... and community health education. The hospital has a professional staff of more than 950 physicians and allied health ... In 2014, the Health Care and Surgery Center Building was renamed to the Dr. Sanford A. Berman and Dr. Kay Ota-Berman Pavilion ... Howard County General Hospital is a 267-bed, not-for-profit health care provider located in Columbia, Maryland. Prior to the ...
Standing wheelchair
... health maintenance organizations (HMOs), PPOs, etc.) Worker's compensation Disability insurance Liability insurance (i.e. car, ... Some of these health benefits include improved circulation, urinary health, bowel function and bone density. Standing ... Numerous studies have shown evidence that standing wheelchairs may provide specific health benefits. ... vocational rehabilitation organizations, and medical case managers are increasingly funding standing wheelchairs because of the ...
Methadone clinic
"Methadone maintenance treatment". World Health Organization. Retrieved 3 November 2018. Ilene Anderson, Thomas E Kearney ( ... A medical evaluation is also given in the form of a urinalysis test, a review of past and current health history, and a test ... All methadone clinics must register as an accredited opioid treatment program with Substance Abuse and Mental Health Service ... February 2018 - via Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration (SAMHSA). " ...
Permanente Creek
It is the namesake for the Kaiser Permanente health maintenance organization. Named by early Spanish explorers as Arroyo ... Reviews on Environmental Health. 26 (2): 111-118. doi:10.1515/reveh.2011.015. PMID 21905454. Lemly, Dennis (1998). Selenium ... "Wet deposition of mercury within the vicinity of a cement plant before and during cement plant maintenance". Atmospheric ... Rancho San Antonio Open Space Preserve and County Park map Burrowing Owl Conservation organization GreenTown Los Altos Santa ...
Fatal Cure
The story takes aim at managed care and health maintenance organizations. David and Angela quickly find out that their idyllic ...
Fee-for-service
Bundled payment Preferred provider organization Health maintenance organization Ryan, Andrew M.; Werner, Rachel M. (October 9, ... In the health insurance and the health care industries, FFS occurs if doctors and other health care providers receive a fee for ... In 2009, Massachusetts, with the highest health care costs in the country, had a group of ten health care experts who worked ... The foundation that health reform lays for improved payment, care coordination, and prevention". Health Affairs (Project Hope ...
Methadone
World Health Organization (2009). "Methadone maintenance treatment". Clinical guidelines for withdrawal management and ... World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World ... It is on the World Health Organization's List of Essential Medicines, the safest and most effective medicines needed in a ... World Health Organization (2009). Guidelines for the psychosocially assisted pharmacological treatment of opioid dependence. ...
Irritable bowel syndrome
"Costs of care for irritable bowel syndrome patients in a health maintenance organization". The American Journal of ... More studies are needed to assess the true impact of this diet on health. In addition, the use of a low-FODMAP diet without ... Nyrop KA, Palsson OS, Levy RL, Von Korff M, Feld AD, Turner MJ, Whitehead WE (July 2007). "Costs of health care for irritable ... National Health Service. Archived from the original on October 18, 2012. Retrieved October 21, 2012. Manheimer E, Cheng K, ...
Ted Kennedy
... and support for health maintenance organizations. Hearings on national health insurance were held in 1971, but no bill had the ... Kennedy sponsored and helped pass the limited Health Maintenance Organization Act of 1973. He also played a leading role, with ... The same year, Kennedy's Mental Health Parity Act forced insurance companies to treat mental health payments the same as others ... As a candidate, Carter had proposed health care reform that included key features of Kennedy's national health insurance bill, ...
Medicare Advantage
Most such plans are health maintenance organizations (HMOs) or preferred provider organizations (PPOs). Public Medicare Part C ... Medicare - Alliance for Health Reform The nonpartisan, nonprofit Alliance for Health Reform offers information about health ... is in quotes because most Medicare Advantage and other Part C health plans are sponsored by non-profit organizations, primarily ... is a type of health insurance plan in the United States that provides Medicare benefits through a private-sector health insurer ...
MetLife
"MetLife Announces the New MET Series for its Dental Health Maintenance Organization DHMO Plans". Health & Medicine Week: 1192. ... The foundation has partnered with and donated to a variety of organizations, including Habitat for Humanity since 2010 and the ... Augustums, Ieva M. (1 May 2010). "AIG Sells Alico Health Insurance Unit to MetLife for $15.5B". The Huffington Post: Business. ... MetLife also administers dental continuing education program for dentists and allied health care professionals, which are ...
Rabin Medical Center
It is owned and operated by Clalit Health Services, Israel's largest health maintenance organization. In January 1996, ... Health care in Israel Medical tourism in Israel Schneider Children's Medical Center of Israel "Table 10: Listed Hospitalization ... Israel Ministry of Health. January 2020. p. 24. Retrieved November 9, 2020. CS1 maint: discouraged parameter (link) Ayala ... the two hospitals were officially merged in 1996 in a budget saving consolidation and the umbrella organization renamed the ...
American Medical Association
In the 1930s, the AMA attempted to prohibit its members from working for the health maintenance organizations established ... The order restrained the AMA from obstructing agreements between physicians and health maintenance organizations. In May 1983, ... the AMA remains opposed to any single-payer health care plan that might enact a National Health Service-style organization in ... In the 1990s, the organization was part of the coalition that defeated the health care reform advanced by Hillary and Bill ...
Hawaii Medical Service Association
In 1972, HMSA introduced the Community Health Program, its first Health maintenance organization (HMO). The Hawaii Prepaid ... HMSA offers a variety of health plans, including Preferred Provider Organization (PPO) plans and Health Maintenance ... "Health plans". HSMA web site. Retrieved November 26, 2010. "Health & Wellness". HSMA web site. Retrieved November 26, 2010. " ... Health Care Act of 1974 required nearly all employers to provide health insurance to full-time employees. In 1980, Health Plan ...
Medicare (United States)
Medicare added the option of payments to health maintenance organizations (HMO) in the 1970s. The government added hospice ... Most Part C plans are traditional health maintenance organizations (HMOs) that require the patient to have a primary care ... Contributions Act Health care in the United States Health care politics Health care reform in the United States Health ... Philosophy of healthcare Quality improvement organizations Single-payer health care Stark Law United States National Health ...
Point of service plan
It combines characteristics of the health maintenance organization (HMO) and the preferred provider organization (PPO). The POS ... Definitions of Health Insurance Terms, U.S. Interdepartmental Committee on Employment-based Health Insurance Surveys (URL ... but with lesser compensation offered by the patient's health insurance company. For medical visits within the health care ... Medicare and the American health care system : a report to the Congress: 99. OCLC 24097034. Glossary, Federal Employees Health ...
Case Medical Centre
Case Hospital owns and Operates Case MedCare Insurance Limited, a wholly owned Health Maintenance Organization. In 1995, a ...
HMO (disambiguation)
An HMO is a health maintenance organization, an organization that provides or arranges managed care. HMO or hmo may also refer ...
Frank DeStefano
A Two-Phased Study of Computerized Health Maintenance Organization Databases". Pediatrics. 112 (5): 1039-1048. doi:10.1542/peds ... He received his MPH at Johns Hopkins University School of Hygiene and Public Health in 1984. DeStefano is an author of a number ... a topic he researched from 1982 to 1984 as a medical officer at the National Institutes of Health. Also in 1982, he joined the ...
Sicko
This led to the expansion of the modern health maintenance organization-based health care system. Connections are highlighted ... The origins of the Health Maintenance Organization Act of 1973 are presented using a taped conversation between John Ehrlichman ... World Health Organization ranking of health systems Cohn, Jonathan (July 2, 2007). "Shticko; It's no fun to agree with Michael ... Furthermore, Sicko references the World Health Organization which lists the U.S. health in general as ranked 37 out of 191, ...
Education in the Northern Mariana Islands
"Prevalence of Childhood Obesity among Young Multiethnic Children from a Health Maintenance Organization in Hawaii". Childhood ... The organisation and structure of the Northern Mariana Islands educational system is similar to that of the United States. ... This concern has also been raised in regards to the social studies curriculum which is prescribed by the US organisation The ... International Journal of Health Promotion and Education. 55 (1): 3-17. doi:10.1080/14635240.2016.1193762. ISSN 1463-5240. S2CID ...
Ma'ale Adumim
Medical services are provided in the city through all four Health maintenance organizations (kupot holim). There is also a ... According to B'Tselem, an Israeli human rights organization, "The expropriation procedure used in Ma'ale Adummim is ...
Aetna
Lawyers on both sides called it the largest such verdict against a health maintenance organization. In 2001 a settlement was ... The Health Section. Retrieved May 19, 2019.[permanent dead link] "Aetna And Inova Health System Establish New Health Plan ... Aetna and Inova Health System announced a joint venture creating a new health insurance company, Innovation Health. Aetna ... Gregory, John (January 15, 2018). "Aetna will stay in Hartford as part of CVS Health acquisition". "CVS Health to Acquire Aetna ...
Dietitian
... health-maintenance organizations, private practices, or other health-care facilities. In addition, many registered dietitians ... public health agencies, home care agencies, and health maintenance organizations. These dietitians apply and distribute ... Classifying health workers. Geneva, World Health Organization, 2010. U.S. Bureau of Labor Statistics: Occupational Outlook ... In the United Kingdom, dietitians must be registered with the Health and Care Professions Council (HCPC, formerly the Health ...
Ariosa v. Sequenom
Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... a very practical problem accessing fetal DNA without creating a major health risk for the unborn child."[3] In December 2015, ...
Federal Insecticide, Fungicide, and Rodenticide Act
Annual maintenance fees are also imposed: $425 per product up to fifty products and a maximum of $20,000 per company.[4] For ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... in order to meet current health and safety standards, labeling requirements, and for risk regulation and moderation.[2][6][17] ... Minimum requirements for training of maintenance applicators and service technicians Section 30 ...
List of medical colleges in India
West Bengal University of Health Sciences [22] Burdwan Medical College 1969 Bardhaman West Bengal University of Health Sciences ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... The Medical Council of India's motto is to provide quality medical care to all Indians through promotion and maintenance of ... North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences. Mizoram. *Mizoram Institute of Medical Education ...
Home insurance
Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... General wear-and-tear maintenance. *Faulty workmanship. *Mechanical or electrical breakdown. *Any amount over the limits shown ... Health. *Accidental death and dismemberment. *Dental. *Disability (Total permanent disability). *Income protection ...
Rituximab
It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health ... "Roche Gets EC Nod for Follicular Lymphoma Maintenance Therapy". October 29, 2010. Archived from the original on October 31, ... World Health Organization. April 2015. Archived (PDF) from the original on 13 December 2016. Retrieved 8 December 2016.. ... It is on the World Health Organization's List of Essential Medicines, a list of the most important medications needed in a ...
Códigos de classificação JEL - Wikipédia, a enciclopédia livre
JEL: I1 - Health JEL: I10 - Geral. JEL: I11 - Analysis of Health Care Markets. JEL: I12 - Health Production: Nutrition, ... JEL: L3 - Non-profit organizations and Public enterprise JEL: L30 - Geral. JEL: L31 - Nonprofit Institutions; NGOs. JEL: L32 - ... JEL: L42 - Vertical Restraints; Resale Price Maintenance; Quantity Discounts. JEL: L43 - Legal Monopolies and Regulation or ... JEL: L23 - Organization of Production. JEL: L24 - Contracting out; Joint ventures. JEL: L25 - Firm Performance: Size, Age, ...
Category:Pages with broken reference names - Simple English Wikipedia, the free encyclopedia
This is a maintenance category. It is used for maintenance of the Wikipedia project and is not part of the encyclopedia. It ... NYC Health + Hospitals/Bellevue. O. *Occupation government's prison camps in Norway during World War Two ... International Organization for Standardization. *Interstate 95. *Iron Man 3. *Islamic State of Iraq and the Levant ...
Medicine
"World Health Organization.. *^ El Dib RP, Atallah AN, Andriolo RB (August 2007). "Mapping the Cochrane evidence for decision ... used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental ... Community health or public health is an aspect of health services concerned with threats to the overall health of a community ... "World Health Organization. 2008-12-01. Retrieved 2014-04-20.. *^ Acharya, Deepak and Shrivastava Anshu (2008): Indigenous ...
Berlin Brandenburg Airport
Aircraft maintenanceEdit. The two large hangars at BER were to be used by Lufthansa and Air Berlin respectively. However, Air ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... citing health concerns.[127] ... Both provide enough space for maintenance work on four to five ... "airberlin, Germania, Harder & Partner and Berlin Airports celebrate laying of foundation stone for first maintenance hangar at ...
Smoking ban
National Institutes of Health,[16] the Surgeon General of the United States,[17] and the World Health Organization.[18] ... reportedly need less frequent cleaning and maintenance as a result of the Irish smoke-free law.[125] "Third-hand smoke", solid ... "World Health Organization. Retrieved 17 June 2009.. *^ "Smoking bans cut premature births and child asthma attacks". Reuters. ... World Health Organization. Retrieved 14 March 2014.. *^ Tucker, Todd. "Brazil's flavored cigarette ban now targeted". citizen. ...
Chiropractic
IPA performance for the same health maintenance organization product in the same geography and time frame.[162] ... Mainstream health care and governmental organizations such as the World Health Organization consider chiropractic to be ... World Health Organization (2005). "WHO guidelines on basic training and safety in chiropractic" (PDF). ISBN 92-4-159371-7. ... The World Health Organization found chiropractic care in general is safe when employed skillfully and appropriately.[45] There ...
Androgen
"Fast Health Fitness.. *^ a b Carlson, Neil (January 22, 2012). Physiology of Behavior. Reproductive Behavior. 11th edition. ... These results demonstrate how the organization of androgens has a positive effect on preadolescent hippocampal neurogenesis ... is any natural or synthetic steroid hormone that regulates the development and maintenance of male characteristics in ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ...
Portal:Colorado
Health. History. Mathematics. Nature. People. Philosophy. Religion. Society. Technology. Random portal. Select here to update ... Portal maintenance status: (June 2018) *This portal's subpages have been checked by an editor, and are needed. ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ...
Poodle
Health. The most common serious health issues of Standard Poodles listed in order of the number of reported cases in the Poodle ... Cuvier, Georges (1827). The Animal Kingdom Arranged in Conformity with Its Organization. London: William Clowes and Sons. ISBN ... Poodles are usually clipped down into lower-maintenance cuts as soon as their show careers are over. Pet clips are much less ... Standard Poodles are also susceptible to some health issues usually too minor to report to the health registry. The most common ...
Tunghai University
Tunghai is a member of the Council for Christian Colleges and Universities, an organization of more than 180 Christian higher ... Articles with multiple maintenance issues. *Use American English from January 2019. *All Wikipedia articles written in American ... Kaomei College of Health Care and Management. *Mackay Medicine, Nursing and Management College ... Under Princeton University, Princeton in Asia is an organization with the purpose of bridging East and West educational ...
Brain tumor
World Health Organization. 2014. pp. Chapter 1.3. ISBN 9283204298.. *^ "Brain Tumour Facts 2011" (PDF). Brain Tumour Alliance ... thus promoting faster transmission of electrical signals and also providing for general maintenance of the environment ... World Health Organization press release N° 208 (Press release). International Agency for Research on Cancer. 31 May 2011. ... World Health Organization. 2014. ISBN 9283204298. Archived from the original on 19 September 2016.. ...
Bengal famine of 1943
... and maintenance expenses),[274] grain given as gratuitous relief, and "test works".[AT] Agricultural loans offered no ... nor an effective organisation to punish breaches of the control" Greenough 1982, p. 105, quoting Navanati Papers, "Memo of Rice ... the crisis overwhelmed the provision of health care and key supplies: food relief and medical rehabilitation were supplied too ... No steps were taken to provide for the maintenance or repair of the confiscated boats,[112] and many fishermen were unable to ...
Portal:Australia
Health. History. Mathematics. Nature. People. Philosophy. Religion. Society. Technology. Random portal. Welcome to the ... Portal maintenance status: (July 2018) *This portal has minor issues in need of editor attention. ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... a volunteer organisation that provided support to the Royal Australian Air Force (RAAF) during World War II. She later helped ...
Occupational health psychology
The interventions tended reduce organization health-care costs.[143][144] Health promotion[edit]. Organizations can play a role ... maintenance, and promotion of workers' health and that of their families.[1][6] Thus the field's focus is work-related factors ... a b c d e f g h i Schonfeld, I.S., & Chang, C.-H. (2017). Occupational health psychology: Work, stress, and health. New York, ... Industrial organizations[edit]. OHP interventions often concern both the health of the individual and the health of the ...
Wat Phra Dhammakaya
This project led the World Health Organization (WHO) to present a World No Tobacco Day award to Luang Por Dhammajayo on 31 May ... a department for maintenance, fundraising, education and propagation divisions. The responsibility for lay people is further ... Organization structure[edit]. Wat Phra Dhammakaya is legally presented by the Dhammakaya Foundation,[299] described as the ... "Integrated Civil Society Organizations System. United Nations Department of Economic and Social Affairs, NGO Branch. Retrieved ...
Inbreeding
"American Journal of Public Health. 89 (4): 517-23. doi:10.2105/ajph.89.4.517. PMC 1508879. PMID 10191794.. ... Systematic inbreeding and maintenance of inbred strains of laboratory mice and rats is of great importance for biomedical ... Food and Agriculture Organization of the United Nations. p. 50. ISBN 978-92-5-104340-0. .. ... "Consanguinity and reproductive health among Arabs". Reproductive Health. 6 (1): 17. doi:10.1186/1742-4755-6-17. PMC 2765422 ...
Dieting
The latter include Overeaters Anonymous and groups run by local organizations. These organizations' customs and practices ... Lipids in Health and Disease. 9: 94. doi:10.1186/1476-511X-9-94. PMC 2941756 . PMID 20815907.. ... "Long-term weight-loss maintenance: a meta-analysis of US studies". The American Journal of Clinical Nutrition. 74 (5): 579-584 ... In 1724, he wrote An Essay of Health and Long Life, in which he advises exercise and fresh air and avoiding luxury foods.[10] ...
Yellow fever
"World Health Organization. 16 October 2017. Retrieved 2 September 2018.. *^ World Health Organization (WHO). WHO position on ... "Yellow fever virus maintenance in Trinidad and its dispersal throughout the Americas". J Virol. 84 (19): 9967-9977. doi ... "World Health Organization. 20 July 2016. Retrieved 2 September 2018.. *^ "WHO supports the immunization of 874 000 people ... "World Health Organization. May 2013. Archived from the original on 19 February 2014. Retrieved 23 February 2014.. ...
Sex reassignment surgery
... has been clarified by the medical subspecialty organization, the World Professional Association for Transgender Health (WPATH ... studies have also found that the critical procedure for genital sensitivity maintenance and achieving orgasms after ... Quality of life and physical health[edit]. Patients of sex reassignment surgery may experience changes in their physical health ... Other health conditions such as diabetes, abnormal blood clotting, ostomies, and obesity do not usually present a problem to ...
Khat
"Bulletin of the World Health Organization. 86 (10): 741-2. doi:10.2471/BLT.08.011008. PMC 2649518 . PMID 18949206. Retrieved 9 ... Other than access to sun and water, khat requires little maintenance. Ground water is often pumped from deep wells by diesel ... The World Health Organization (WHO) classified it in 1980 as a drug of abuse that can produce psychological dependence,[3] ... "World Health Organization Expert Committee on Dependence-producing Drugs: Fourteenth Report". United Nations Office of Drugs ...
IBM Notes
When an organization employs an IBM Domino server, it usually also deploys the supplied IBM Notes client for accessing the IBM ... At the end of 2012 and in 2013, IBM decided to launch 8.5.4 Maintenance Release and 9.0 Social Edition as two separated ... Business Partner Link: Monitor the health of your Lotus Domino servers with VitalSigns ... IBM Notes is commonly deployed as an end-user email client in larger organizations, with IBM claiming a cumulative 145 million[ ...
Moclobemide
"Poisoning and toxicology handbook (4th ed.). Informa Health Care. p. 1331. ISBN 978-1-4200-4479-9. Retrieved 26 May 2009.. ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... Treatment is largely symptomatic and should be aimed at maintenance of the vital functions. ... "Continuation and maintenance treatments in major depression: the neglected role of monoamine oxidase inhibitors". J Psychiatry ...
Field Museum of Natural History
In fact, numerous maintenance and collection management tools were and are being advanced at Field Museum. For example, Carl ... Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. ... public health and safety, and serves taxonomy and systematics research.[44] Many of Field Museum's collections rank among the ...
Music therapy
... has multiple benefits which contribute to the maintenance of health and the drive toward rehabilitation for ... She has met with great success in working with many international organizations, and in the training of therapists, educators, ... "Social Work in Health Care. 39:3-4 (3-4): 361-73. doi:10.1300/J010v39n03_09. PMID 15774401.. ... Music, Health, and Wellbeing. pp. 153-63. doi:10.1093/acprof:oso/9780199586974.003.0012. ISBN 9780199586974. .. ...
NJ Health Maintenance Organizations
For questions about Individual or Small Employer (group) Health coverage: See Individual Health Coverage/Small Employer Health ... Contact Department of Health. For questions about Medicaid and Medicaid-type HMO coverage: Contact Division of Medical ... Health Maintenance Organizations (HMOs) Please Note: For questions about Medicare HMOs: ... Home , Insurance Division , Managed Care , Health Maintenance Organizations (HMOs) ...
New Jersey Authorized Health Maintenance Organizations
A Health Maintenance Organization (HMO) provides and/or arranges for the delivery of comprehensive health care services and ... An HMO arranges with health care providers to furnish services and supplies to its members; sets standards for selecting ... Following the approval of the federal Center for Medicare and Medicaid Services (CMS, formerly the Health Care Financing ... The members financial responsibility for covered out-ofnetwork services resembles that of an indemnity health insurance plan, ...
health-maintenance organization | Encyclopedia.com
Source for information on health-maintenance organization: A Dictionary of Sociology dictionary. ... A type of health-care organization developed in the USA, initially on co-operative principles, now increasingly run by profit- ... so helping to reduce costs and increasing medical incentives to health maintenance. ... health-maintenance organization (HMO) A type of health-care organization developed in the USA, initially on co-operative ...
Health Maintenance Organization (HMO) Definition
... is a health insurance plan that provides health services through a network of doctors for an annual fee. ... What Is a Health Maintenance Organization? An individual who needs to secure health insurance may find a variety of health ... A health maintenance organization (HMO) is a network or organization that provides health insurance coverage for a monthly or ... Health maintenance organizations (HMOs) provide health insurance coverage for a monthly or annual fee. An HMO limits member ...
IDOI: Limited Service Health Maintenance Organization
Health Maintenance Organizations (HMO's)
| Human Resources | CSUSB
Health maintenance organization - Wikipedia
Health Maintenance Organization / HMO". news.bbc.co.uk. Retrieved 22 March 2018. Joseph L. Dorsey, "The Health Maintenance ... In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a ... Department of Health and Human Services that led to the enactment of the Health Maintenance Organization Act of 1973. This act ... The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO ...
U.S. GAO - Medicare: Health Maintenance Organization Rate-Setting Issues
... the data and methodology for computing Medicare monthly capitation payments to risk-contract health maintenance organizations ( ... Health Maintenance Organization Rate-Setting Issues. HRD-89-46: Published: Jan 31, 1989. Publicly Released: Jan 31, 1989.. ... the data and methodology for computing Medicare monthly capitation payments to risk-contract health maintenance organizations ( ... Indian Health Service: Actions Needed to Improve Oversight of Federal Facilities Decision-Making About the Use of Funds. GAO- ...
Health maintenance organization | Definition of Health maintenance organization at Dictionary.com
... a plan for comprehensive health services, prepaid by an individual or by a company for its employees, that provides treatment, ... preventive care, and hospitalization to each participating member in a central health center. Abbreviation: HMO See more. ... health maintenance organization. health food, healthful, health goth, health insurance, healthism, health maintenance ... a plan for comprehensive health services, prepaid by an individual or by a company for its employees, that provides treatment, ...
Definition: Health maintenance organization from 42 CFR § 3.20 | LII / Legal Information Institute
Health maintenance organization. Health maintenance organization means: (1) A Federally qualified health maintenance ... 2) An organization recognized under State law as a health maintenance organization; or (3) A similar organization regulated ... under State law for solvency in the same manner and to the same extent as such a health maintenance organization. ... organization (HMO) (as defined in 42 U.S.C. 300e(a)); ( ...
The cost of health conditions in a health maintenance organization
... Med Care Res Rev. 2000 Mar;57(1):92-109. doi: 10.1177/ ... The costs attributable to the 25 conditions accounted for 78 percent of the health maintenance organizations total direct ... Health Maintenance Organizations / economics* * Health Maintenance Organizations / statistics & numerical data * Health ...
The Effect of Medicare Health Maintenance Organizations on Hospitalization Rates for Ambulatory Care-Sensitive Conditions | RAND
The objective of this study was to estimate the effect of Medicare Health Maintenance Organization (HMO) enrollment on ... OBJECTIVE: The objective of this study was to estimate the effect of Medicare Health Maintenance Organization (HMO) enrollment ... The Effect of Medicare Health Maintenance Organizations on Hospitalization Rates for Ambulatory Care-Sensitive Conditions. ... The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities ...
Health Maintenance Organization Act of 1973 - Wikipedia
Health Maintenance Organization Amendments of 1976, P.L. 94-460, 90 Stat. 1945 November 1, 1978: Health Maintenance ... 357 October 24, 1988: Health Maintenance Organization Amendments of 1988, P.L. 100-517, 102 Stat. 2578 August 21, 1996: Health ... Health Maintenance Organization (HMO) is a term first conceived of by Dr. Paul M. Ellwood, Jr. The concept for the HMO Act ... The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted ...
U.S. GAO - The Sound Health Association: A Federally Qualified Health Maintenance Organization
... prepaid health plan and was the first health maintenance organization qualified by the Department of Health, Education, and ... The Federal Government requires employers to include a health maintenance organization in their employees health benefit plans ... under the Health Maintenance Organization Act. The provision of health care services on the basis of prepaid rates provides ... incentives for the organization to emphasize preventive medicine to reduce overall health care costs.The Sound Health ...
health maintenance organization facts, information, pictures | Encyclopedia.com articles about health maintenance organization
Make research projects and school reports about health maintenance organization easy with credible articles from our FREE, ... and pictures about health maintenance organization at Encyclopedia.com. ... HEALTH MAINTENANCE ORGANIZATIONS (HMOS). Health Maintenance Organizations (HMOs) in the United States have their roots in the ... HEALTH MAINTENANCE ORGANIZATION (HMO). The term "health maintenance organization" (HMO) was coined in the early 1970s to ...
National Health Interview Survey, 1975: Health Maintenance Organization (HMO) Supplement
... health care, health care services, health insurance, Health Maintenance Organizations, health policy, health problems, illness ... National Center for Health Statistics. National Health Interview Survey, 1975: Health Maintenance Organization (HMO) Supplement ... National Health Interview Survey, 1975: Health Maintenance Organization (HMO) Supplement (ICPSR 9744) Principal Investigator(s ... The 1975 Health Maintenance Organization (HMO) Supplement provides variables from the core Person File (see HEALTH INTERVIEW ...
Impact of a Health Maintenance Organization Hospitalist System in Academic Pediatrics | American Academy of Pediatrics
LOS, length of stay • SMHMO, staff-model health maintenance organization • HMO, health maintenance organization • FTE, full- ... Impact of a Health Maintenance Organization Hospitalist System in Academic Pediatrics Message Subject (Your Name) has sent you ... Impact of a Health Maintenance Organization Hospitalist System in Academic Pediatrics. Christopher P. Landrigan, Rajendu ... Impact of a Health Maintenance Organization Hospitalist System in Academic Pediatrics. Christopher P. Landrigan, Rajendu ...
SOCIAL HEALTH MAINTENANCE ORGANIZATION (SHMO) - Medical Terms for Billing and Coding - AAPC
... is defined as A special type of health plan that provides the full range ... SOCIAL HEALTH MAINTENANCE ORGANIZATION (SHMO). A special type of health plan that provides the full range of Medicare benefits ... Home > Medical Terms for Billing and Coding > SOCIAL HEALTH MAINTENANCE ORGANIZATION (SHMO) ... Medical Term SOCIAL HEALTH MAINTENANCE ORGANIZATION (SHMO) - ...
Health Maintenance Organizations financial definition of Health Maintenance Organizations
What is Health Maintenance Organizations? Meaning of Health Maintenance Organizations as a finance term. What does Health ... Definition of Health Maintenance Organizations in the Financial Dictionary - by Free online English dictionary and encyclopedia ... Related to Health Maintenance Organizations: Preferred provider organizations. Health Maintenance Organization. Commonly called ... Health Maintenance Organization. (redirected from Health Maintenance Organizations). Also found in: Dictionary, Thesaurus, ...
health maintenance organization
... health coverage , health information , health maintenance organization , health plans , health products for individuals , HMO ... health coverage , health information , health maintenance organization , health plans , health products for individuals , HMO ... health coverage , health information , health maintenance organization , health plans , health products for individuals , ... What does it mean for New York State Health Insurance?. * Rate Hike: More Bad News for New York State Health Insurance ...
Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits. | Diabetes Care
Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits.. ... Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits. ... Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits. ... Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits. ...
Changing nature of physician satisfaction with health maintenance organization and fee-for-service practices
Health Maintenance Organizations - Neskowin, OR - OregonLive.com
Health Maintenance Organizations - Lyndhurst, NJ - NJ.com
Safety of Thimerosal-Containing Vaccines: A Two-Phased Study of Computerized Health Maintenance Organization Databases |...
Safety of Thimerosal-Containing Vaccines: A Two-Phased Study of Computerized Health Maintenance Organization Databases. Thomas ... Methods. A 2-phased retrospective cohort study was conducted using computerized health maintenance organization (HMO) databases ... Safety of Thimerosal-Containing Vaccines: A Two-Phased Study of Computerized Health Maintenance Organization Databases ... Safety of Thimerosal-Containing Vaccines: A Two-Phased Study of Computerized Health Maintenance Organization Databases ...
Definition Of Health Maintenance Organization (hmo) In Insurance
... and understand what Health Maintenance Organization (hmo) means in Insurance. Explaining Health Maintenance Organization (hmo) ... Get the definition of Health Maintenance Organization (hmo) ... "Health maintenance organization (hmo)". Dennis Guldseth, Real ... What Do I Need To Know About Individual Health Insurance?. Health insurance also known as .disability insurance. is insurance ... HMO Outpatient Health Services Provided at HMO Facility-include physician services, preventive health services, diagnosis and ...
Aggregated Claims Series: Volume 4: Codebooks for Health Maintenance Organization and Seattle Fee-for-Service Visits -...
This codebook describes the contents of a data file from the Health Insurance Experiment (HIE), a large social experiment ... conducted by The RAND Corporation from 1974 to 1982 under a grant from the U.S. Department of Health and Human Services. ... Department of Health and Human Services. The health maintenance organization (HMO) and Seattle fee-for-service (FFS) visits ... Aggregated Claims Series: Volume 5: Codebook for Health Maintenance Organization and Seattle Fee-for-Service Annual ...
Health Maintenance Organizations in Adrian, MO | Names and Numbers
Review business listings, maps, links, promotions, and more for Health Maintenance Organizations in Adrian, MO. ... Find Health Maintenance Organizations in Adrian by Names and Numbers. ... Health Maintenance Organizations. Hospice & Home Health-Bates County Health Center. 501 N Orange Butler MO 64730. 660-679-6022 ... Refine Your Local Business Search for Health Maintenance Organizations in the Adrian, MO Yellow Pages , Health Maintenance ...
The frequency of workplace exacerbation among health maintenance organisation members with asthma | Occupational &...
Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort. |...
Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort.. ... Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort. ... Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort. ... Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort. ...
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HMOs38
- Additional information on enrollment and financial information on HMOs is on the Department's Life and Health Actuarial page . (nj.us)
- Unlike fee-for-service medicine, HMOs (a 1970s term) are group practices, providing relatively comprehensive (primary and hospital) services for a standard prepayment, so helping to reduce costs and increasing medical incentives to health maintenance. (encyclopedia.com)
- Health maintenance organizations (HMOs) provide health insurance coverage for a monthly or annual fee. (investopedia.com)
- Preferred provider organizations (PPOs) and point-of-service plans (POS) are two types of healthcare plans that are alternatives to HMOs. (investopedia.com)
- HMOs offer a range of health benefits including preventative care. (csusb.edu)
- HEALTH MAINTENANCE ORGANIZATIONS (HMOs), combining both provision of service and insurance functions in the health industry, have organizational antecedents in the late nineteenth century with doctors who provided medical care to members of fraternal organizations in return for a fixed periodic fee per member. (encyclopedia.com)
- HMOs cover emergency care regardless of the health care provider's contracted status. (wikipedia.org)
- Doctor: Health Maintenance Organizations (HMOs) should not be used to replace traditional fee-for-service methods of delivering health care. (gmatclub.com)
- The less health care that HMOs deliver, the greater the profit these companies receive. (gmatclub.com)
- b)An effective way for HMOs to cut health care delivery costs is to prevent diseases from occurring by providing considerable amounts of preventive health care. (gmatclub.com)
- c) If HMOs deliver less health care, competitive pressures will force these companies to lower the rates they charge for health care coverage, returning the profit margin to former levels. (gmatclub.com)
- The Health Maintenance Organization Act, informally known as the federal HMO Act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (HMOs). (wikipedia.org)
- Second, there is a fear that while select black physicians will be "gobbled" up by multi-physician health maintenance organizations (HMOs), those that do not want to or are not asked to join such groups will lose their practices. (thefreedictionary.com)
- TO LOWER COSTS, MEDICARE AND MEDICAID ARE encouraging their beneficiaries to enroll in health maintenance organizations (HMOs). (thefreedictionary.com)
- Managed care practice arrangements, or health maintenance organizations (HMOs), are sufficiently mature to examine whether physicians' level of satisfaction has changed as managed care has developed. (nih.gov)
- OBJECTIVE: The increasing enrollment of Medicare beneficiaries in health maintenance organizations (HMOs) in recent years has caused concern about whether HMOs and their providers have created an unfavorable environment for members who are chronically ill. (diabetesjournals.org)
- Health Maintenance Organizations (HMOs) as an organizational form have a number of features potentially attractive in Canada as elsewhere. (semanticscholar.org)
- HMOs operate similarly to other types of health insurance plans in several ways. (semanticscholar.org)
- All HMOs undergo close scrutiny by many government organizations, including each State Department of Health in which they operate. (thebalancecareers.com)
- HMOs are often cheaper health care plans for employers and members over the life of the plans. (thebalancecareers.com)
- PLEXIS offers Health Maintenance Organizations (HMOs) an unbeatable toolset for managed care for multiline health plans, self-funded plans, and a diverse set of healthcare provider organizations. (plexishealth.com)
- Health Maintenance Organizations, otherwise known as HMOs, are one type of Medicare Advantage plan. (medicaresolutionslongisland.com)
- HMOs have a set network of hospitals, doctors, and other health care providers. (medicaresolutionslongisland.com)
- The PCP system allows many HMOs to provide integrated care with a focus on prevention and wellness to reduce overall costs and improve health outcomes. (medicaresolutionslongisland.com)
- The Florida Health Maintenance Organization Consumer Assistance Plan ("HMOCAP") was created by Florida statute to protect persons enrolled for coverage with HMOs, subject to certain limitations, against the failure of their HMO to perform its contractual obligations due to its insolvency. (flhmocap.com)
- Although HMOs are more restrictive than other health insurance plans, they are typically suitable for us millennials. (wordpress.com)
- All HMOs provide comprehensive hospital, medical/surgical, mental health/substance abuse, and prescription drug coverage. (albany.edu)
- Minnesota lays claim to the idea of prepaid health plans-health services operated and administered by medical doctors and professional staff, and managed by health maintenance organizations (HMOs) -a design formulated in the early 1960s by Dr. Paul M. Ellwood, then executive director of the American Rehabilitation Foundation and the Sister Kenny Institute of Minneapolis. (mnhs.org)
- The statute defined health maintenance organizations (HMOs) as 'non-profit organizations, providing comprehensive health maintenance services in exchange for a fixed prepaid sum, regardless of frequency or extent of care required. (mnhs.org)
- Association of Health Maintenance Organization of the Philippines, Inc. (AHMOPI) is the first recognized trade association of Health Maintenance Organization (HMOs) in the Philippines. (ahmopi.org.ph)
- As HMOs committed to the value, integrity and credibility of our respective organizations, we shall strictly adhere to sound business ethics and achieve far greater performance standards and operational efficiencies. (ahmopi.org.ph)
- Health Maintenance Organizations - shortened to HMOs - are a type of health insurance provider using a unique business model. (generalliabilityinsure.com)
- Health maintenance organizations (HMOs) act as both a medical insurance carrier and as the coordinator of health services for its members, who pay a monthly fee to receive all the medical services needed at a reduced cost or co-payment to them. (generalliabilityinsure.com)
- As health insurance providers, HMOs will understand the fact that disaster can strike unexpectedly better than most businesses. (generalliabilityinsure.com)
- HMOs help reduce health costs by keeping people out of hospitals. (thecrimson.com)
- HMOs thus encourage members to keep a check on health problems before they become serious, Biblo said yesterday. (thecrimson.com)
- A July Federal Trade Commission report indicates HMOs not only provide cheaper health care to their members but also apply competitive pressure to other insurance agencies. (thecrimson.com)
- At the ceremony certifying the Harvard Community Health Plan, Senator Edward Kennedy '54 (D.-Mass.) described HMOs as "an important model for the development of future national health insurance programs. (thecrimson.com)
20201
- In 2020, the Centers for Medicare and Medicaid Services awarded Kaiser their highest rating of 5.0 out of 5.0 stars for their Medicare health plans in their annual Star Ratings. (medicalnewstoday.com)
19737
- The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options if the employer offers traditional healthcare options. (wikipedia.org)
- They trace their origins to the early 20th century, but became more popular after the Health Maintenance Organization Act of 1973 . (thefreedictionary.com)
- Passage of the 1973 Health Maintenance Organization Act (P.L. 93-222) represents a significant effort by the Federal government to experiment with organizational change in the structure of the health care delivery system. (semanticscholar.org)
- In 1973, The Health Maintenance Organization Act amended the previous Public Health Service Act of 1944 and effectively transformed the way health benefits were to be managed in America. (thebalancecareers.com)
- In order to protect and nurture what was then a new approach in health care, Congress passed the HMO Act of 1973. (newyorkessays.com)
- The Health Maintenance Act of 1973 was passed by the Minnesota Legislature and codified as Chapter 62D of the Minnesota Statutes. (mnhs.org)
- Recognition came after recent modifications enabled the Harvard organization to fulfill federal guidelines set down in a 1976 amendment to a 1973 law. (thecrimson.com)
Premiums16
- A Health Maintenance Organization (HMO) provides and/or arranges for the delivery of comprehensive health care services and supplies to its members in a designated geographic service area in exchange for prepaid premiums. (nj.us)
- These contracts both allow for premiums to be lower than for traditional health insurance-since the health providers have the advantage of having patients directed to them-but they also add additional restrictions to the HMO's members. (investopedia.com)
- The agreed payment allows an HMO to offer lower premiums than other types of health insurance plans while retaining a high quality of care from its network. (investopedia.com)
- In response, both private firms that paid for employees' health insurance premiums and governments that were financing care for the poor and the elderly sought mechanisms to control costs. (encyclopedia.com)
- Insurance premiums are never eligible for reimbursement with a flexible spending account (FSA), but may be eligible with a health reimbursement arrangement (HRA) and are eligible on a health savings account (HSA) unless already paid for with pre-tax dollars. (fsastore.com)
- Health insurance premiums reimbursement is not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA). (fsastore.com)
- Health insurance premiums fall outside of this definition and pay for coverage, not direct care, so therefore FSA funds cannot cover policy premiums. (fsastore.com)
- Conversely, business-sponsored accounts like health reimbursement arrangements (HRAs) may be underwritten to cover HMO premiums, but this is left up to the employer to decide and varies greatly. (fsastore.com)
- However, health savings accounts (HSAs) are personal savings accounts that are designed to cover health expenses, and therefore they can be used to pay for HMO premiums if the policyholder desires. (fsastore.com)
- In 1988, the employers' war against escalating health care costs shifted to a new front as demands rose for a variety of measures to control the premiums paid to health maintenance organizations. (newyorkessays.com)
- An HMO is a type of managed care health plan where members choose their physician from a network of approved health care providers which typically results in lower premiums and/or copayments. (cascadehc.org)
- Health insurance premiums rose 50% between 2008 and 2017, according to the Colorado Division of Insurance. (benzinga.com)
- Typically, CDHPs have lower premiums but higher deductibles (the amount members pay out-of-pocket for health services before the health plan pays). (anthem.com)
- This pressure forces other programs either to make their health packages more comprehensive or to reduce their premiums. (thecrimson.com)
- Health care is typically managed by primary care physicians, specialists, hospitals and labs inside the provider network, with premiums and co-payment for certain services or prescriptions. (cthealthchannel.org)
- Least Expensive Health Insurance Instead of a deductible, most HMO plans have monthly premiums and small co-payments for medical services and treatments, regardless of a member's medical needs. (cthealthchannel.org)
Plans42
- The Federal Government requires employers to include a health maintenance organization in their employees' health benefit plans. (gao.gov)
- It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. (wikipedia.org)
- Over the past few years, third-party payers, such as large employer-based benefit plans, health maintenance organizations and traditional insurers, have increasingly found a new profit source--recoveries from prescription-drug overcharge litigation. (thefreedictionary.com)
- health care plans to provide coverage for newborn children. (richmondsunlight.com)
- Requires health care plans provided by a health maintenance organization to provide coverage for newborn children. (richmondsunlight.com)
- Catastrophic health plans permitted. (wa.gov)
- Mental health services - Health plans - Definition - Coverage required, when. (wa.gov)
- According to the experts in health care, the trend away from traditional fee-for-service health care plans has been steady over the last two decades. (thebalancecareers.com)
- The US Department of Labor advises that fee-for-service plans accounted for 96% of health care plans offered by medium and large public employers in 1984 and 20 years later they account for less than 15% of employer-provided health insurance. (thebalancecareers.com)
- Health maintenance organization plans continue to be a strong component of care in the health insurance market today. (thebalancecareers.com)
- Health insurers are selling more than 100,000 plans at a county level through the Affordable Care Act's marketplaces, at radically different prices and varied designs. (swimincorp.com)
- But a new analysis from the McKinsey Center for U.S. Health System Reform suggests insurers had some luck in holding down prices if they offered plans that limited a consumer's choice of doctors and hospitals. (swimincorp.com)
- Plans featuring health maintenance organizations or restricted networks of providers typically had the lowest year-over-year premium increases, according to McKinsey, which sifted through information on the 223,000 plans offered in the marketplaces at the county level over the last two years. (swimincorp.com)
- The more widely known P.P.O., or preferred provider organization, plans, which typically allow people to go outside their plan's network if they are willing to pay a greater share of the cost, had a median increase of 9 percent. (swimincorp.com)
- As one of the lowest cost options, Health Maintenance Organization plans can be a great fit depending on your situation. (medicaresolutionslongisland.com)
- These plans are also an attractive option for individuals who are generally in good health, allowing them to obtain the security of an insurance plan while keeping costs low. (medicaresolutionslongisland.com)
- Private health insurance companies administer Medicare Advantage Prescription Drug (MAPD) plans. (medicalnewstoday.com)
- Medicare Advantage (MA) plans, also known as Medicare Part C, is a group of insurance plans administered by private health insurance companies. (medicalnewstoday.com)
- This briefing will explore the rise of consumer wearables as increasingly prevalent tools in health care delivery and as part of patient care plans. (allhealthpolicy.org)
- Citizens are required to purchase their own health insurance from a private marketplace, while children and the elderly can be covered under free plans from the government. (benzinga.com)
- Here are the different types of plans you can access: preferred provider (PPO), health maintenance organization (HMO) and point of service plans (POS). (benzinga.com)
- These plans tend to more complicated because all of your health care referrals must go through your primary doctor and add in more steps between you and treatment. (benzinga.com)
- Rocky Mountain Health Plans is a nonprofit HMO-based health care system. (benzinga.com)
- There are different types of plans, including health savings accounts and plans with a high or low deductible. (chiefofleast.com)
- These types of plans are good for the people who rarely go to the doctor and need little health care. (chiefofleast.com)
- Private health insurance is allowed, but in six provincial governments only for services that the public health plans do not cover (for example, semi-private or private rooms in hospitals and prescription drug plans). (chiefofleast.com)
- Introduction to managed care : health maintenance organizations, preferred provider organizations, and competitive medical plans / Robert G. Shouldice. (who.int)
- Kaiser Permanente is a nonprofit organization that offer healthcare plans, including Medicare Advantage. (medicalnewstoday.com)
- Kaiser Medicare Preferred Provider Organization (PPO) plans offer more freedom. (medicalnewstoday.com)
- The Affordable Care Act (ACA) guidelines stipulate that vision care is an essential benefit for children under age 19 - all plans sold in the Health Insurance Marketplace should include vision care for children. (benzinga.com)
- The Health Insurance Marketplace does not offer stand-alone plans. (benzinga.com)
- Vision insurance doesn't use the deductible available with traditional health insurance plans but borrows the idea of copayments. (benzinga.com)
- Vision insurance plans are available as either add-on (optional riders) to your primary health insurance plan or through an ancillary plan (stand-alone plan) that provides benefits not available through major health plans, like vision and dental insurance . (benzinga.com)
- Explore Anthem group medical plans, including flexible PPO, POS, and Consumer-Driven Health Plans (CDHP) - all with one of the largest physician and hospital-based networks in Wisconsin. (anthem.com)
- POS plans are a type of managed care that requires members to choose an in-network physician for a PCP, but like a PPO, patients may go outside the network for health care services. (anthem.com)
- All ACA Marketplace plans cover the 10 Essential Health Benefits . (illinois.gov)
- This requires health plans to cover a person regardless of age, gender or health status (including pre-existing conditions). (quote.com)
- The ACA requires most individual and small employer health insurance plans, including all plans offered through the Health Insurance Marketplace to cover substance use and mental health services. (quote.com)
- Curry SJGrothaus LCMcAfee TPabinak C Use and cost effectiveness of smoking-cessation services under four insurance plans in a health maintenance organization. (jamanetwork.com)
- Market Metro Health's various Health Plans in achieving significant Market penetration in accordance with set organizational goals. (jobinformant.com)
- While an HMO is more restrictive than other plans, doctor visits and health care can be simple, easy and reliable. (cthealthchannel.org)
- No Lifetime Maximum Payout Unlike other health insurance plans, many HMO policies do not have a lifetime maximum payout. (cthealthchannel.org)
Plan57
- The member's financial responsibility for covered out-ofnetwork services resembles that of an indemnity health insurance plan , with a deductible and coinsurance structure that generally results in a higher payment by the member than if he or she obtained services or supplies from a network provider. (nj.us)
- A preferred provider organization (PPO) is a medical care plan in which health professionals and facilities provide services to subscribed clients at reduced rates. (investopedia.com)
- a plan for comprehensive health services, prepaid by an individual or by a company for its employees, that provides treatment, preventive care, and hospitalization to each participating member in a central health center. (dictionary.com)
- The Sound Health Association, Inc., of Tacoma, Washington, is a consumer-owned, prepaid health plan and was the first health maintenance organization qualified by the Department of Health, Education, and Welfare (HEW) under the Health Maintenance Organization Act. (gao.gov)
- his health plan took on the general outline of a modern health maintenance organization with its own medical and hospital sites and paid physicians providing group practice care to the insured employees. (encyclopedia.com)
- This Kaiser Foundation Health Plan owned medical facilities, clinics, and hospitals, and employed doctors to provide medical care in return for a fixed fee. (encyclopedia.com)
- Smokers receiving advice to quit reported greater satisfaction with their health plan than those who did not receive advice, a finding consistent with several recent studies showing higher patient satisfaction with medical care when they receive advice and assistance in quitting smoking. (confex.com)
- Articulate the relationship between health plan tobacco control policies and the delivery of tobacco cessation services to patients. (confex.com)
- A Health Maintenance Organization (HMO) is a managed care plan that incorporates financing and delivery of an inclusive set of health care services to individuals enrolled in a network. (wikipedia.org)
- HMO: or health maintenance organization , is a medical insurance and health care plan that offers a specific list of doctors and hospitals from whom members must receive their care. (thefreedictionary.com)
- Prepaid group health insurance plan that entitles members to services of participating physicians, hospitals, and clinics. (realestateagent.com)
- 8) "Enrollee" means an individual who is enrolled in a health care plan and includes covered dependents. (tx.us)
- E) services provided under a limited health care service plan or a single health care service plan. (tx.us)
- 14) "Health maintenance organization" means a person who arranges for or provides to enrollees on a prepaid basis a health care plan, a limited health care service plan, or a single health care service plan. (tx.us)
- A health maintenance organization (HMO) is a type of managed care health insurance plan. (semanticscholar.org)
- Health plan benefits for small employers - Coverage - Exemption from statutory requirements - Premium rates - Requirements for providing coverage for small employers. (wa.gov)
- In fact, this is the most popular of all health care plan models in the market. (thebalancecareers.com)
- The quality of the doctors and health care centers are carefully monitored to the highest of standards, so plan members know they are getting the best possible care. (thebalancecareers.com)
- NRS 695C.165 Eligibility for coverage: Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is enrolled in health care plan. (nv.us)
- NRS 695C.167 Eligibility for coverage: Certain accommodations to be made when child is covered under health care plan of noncustodial parent. (nv.us)
- In response to recent evidence about the safety of calcium channel blockers, Group Health Cooperative of Puget Sound (GHC), a large health maintenance organization, implemented a plan in April 1996 to reevaluate the medications of 1349 patients who were taking short-acting nifedipine. (elsevier.com)
- That's why we've taken the following steps to make sure your information stays between you and your health plan. (bcbsla.com)
- A health maintenance organization, also commonly referred to as an HMO, is a type of insurance plan in which the policyholder fight chooses a primary care physician (PCP) from the insurance company's network of local healthcare providers, who will handle all primary care responsibilities and refer the policyholder to specialists and hospitals when advanced care is necessary. (fsastore.com)
- If you have an Health Maintenance Organization (HMO) Plan, you can only see doctors that are in the plan's network. (wordpress.com)
- The benefits of a Health Maintenance Organization (HMO) can differ depending on the company and group plan. (cascadehc.org)
- At Carewell , we are committed to assist you in making full use of your health plan. (carewellhealthsystems.com)
- A managed care plan that combines the function of insurer and provider to give members comprehensive health care from a network of affiliated providers. (allhealthpolicy.org)
- Graduate and Teaching Assistants are eligible for the Student Employee Health Plan (SEHP) as employees represented by the Graduate Student Employees Union (GSEU). (albany.edu)
- The Empire Plan covers hospitalization through Blue Cross, surgical/medical care through United HealthCare, mental health/substance abuse treatment through Optum Health Behavioral Solutions, and prescription drugs through Medco. (albany.edu)
- The Empire Plan includes "managed care" components for certain services, such as hospital and skilled nursing facility admissions, mental health and substance abuse treatment, home health care and durable medical goods, and chiropractic/physical therapy. (albany.edu)
- The pilot program involved 5000 patients from General Mills, the Dayton Company, and other local corporations who were enrolled in this employer-sponsored prepaid health plan. (mnhs.org)
- We shall endeavor to achieve excellence in our health delivery systems, and help our plan holders live happy, healthy lives. (ahmopi.org.ph)
- This plan also includes dental, behavioral health, maternity-related visits, prescription drug coverage and laboratory tests. (benzinga.com)
- The Health Maintenance Organization ( HMO) Plan limits coverage to care from in-network doctors. (princeton.edu)
- Visits are covered at the same cost as in-network mental health visits under the Princeton medical plan. (princeton.edu)
- The Kaiser Permanente organization are a nonprofit healthcare plan provider with a hospital network, an insurance system, and a network of salaried healthcare providers. (medicalnewstoday.com)
- Vision insurance - a type of supplemental health plan - may help offset expenses related to eye care, such as vision corrective wear, annual eye examinations, corrective eye surgery, contact lens exams and more. (benzinga.com)
- This plan provides coverage to participants through a network of select health care providers, like physicians and hospitals. (benzinga.com)
- This plan lets you pay less if you use hospitals, doctors and other health care providers who belong to the plan's network. (benzinga.com)
- Kaiser Permanente Colorado is the state's largest nonprofit health plan, proudly working to improve the lives and health of Colorado residents. (westmetrochamber.org)
- Choosing the right health plan can be confusing at times, but you are not alone. (illinois.gov)
- If your health care needs are moderate, are you concerned about being able to pay for services for an unexpected illness or injury if your plan has high out-of-pocket costs? (illinois.gov)
- A provider network is a specific list of the doctors, hospitals, pharmacies, and other health care providers that your plan covers. (illinois.gov)
- If you get health services in multiple places or travel often, does the plan cover out-of-network providers or have a national provider network? (illinois.gov)
- a) Each enrollee residing in this state is entitled to evidence of coverage under a health care plan. (texas.gov)
- c) If the enrollee obtains coverage under a health care plan through an insurance policy or a contract issued by a group hospital service corporation, whether by option or otherwise, the insurer or the group hospital service corporation shall issue the evidence of coverage. (texas.gov)
- b) A health maintenance organization may provide an individual health care plan in accordance with this section and Section 1271.307 . (texas.gov)
- c) A health maintenance organization may limit enrollment in an individual health care plan to individuals who reside or work within the service area for the plan's network. (texas.gov)
- a) Chapters 1368 and 1652 apply to a health maintenance organization other than a health maintenance organization that offers only a single health care service plan. (texas.gov)
- b) A health maintenance organization may provide benefits under a health care plan to an enrollee's dependent grandchild who is living with and in the household of the enrollee. (texas.gov)
- The Harvard Community Health Plan, an innovative program combining preventive care and health insurance, received certification September 28 from the Department of Health, Education and Welfare, making it the first Health Maintenance Organization (HMO) in Massachusetts. (thecrimson.com)
- According to Robert L. Biblo, president of the Health Plan. (thecrimson.com)
- The very basic difference between the Harvard Plan and conventional health insurance programs is that we combine the financing mechanism and the delivery system. (thecrimson.com)
- When you choose a health plan, be sure to review the plan's covered and non-covered services and the restrictions on your choice of providers. (csub.edu)
- As a PPO health plan member, you get maximum benefit coverage when you use the PPO network of physicians and hospitals. (csub.edu)
- Stat., defines an HMO as 'a health care plan offered by an organization established under chs. (wi.gov)
- All applications for Certificates of Incorporation and Certificates of Authority for health maintenance organizations shall include a proposed business plan. (wi.gov)
Coverage16
- One type of insurance provider that is popular in the health insurance marketplace is a health maintenance organization (HMO), an insurance structure that provides coverage through a network of physicians. (investopedia.com)
- A health maintenance organization (HMO) is a network or organization that provides health insurance coverage for a monthly or annual fee. (investopedia.com)
- The same requirement currently exists for health insurance policies and subscription contracts with family coverage. (richmondsunlight.com)
- Beyond health coverage, you can count on us to provide impactful community initiatives and leadership in improving health care. (baycityarea.com)
- You may use this site as your basic guide to better understand your Carewell Health Care Coverage . (carewellhealthsystems.com)
- Health Insurance eligibility requirements and coverage effective dates vary by employee type. (albany.edu)
- The U.S. government requires that J-1 visa holders and their dependents have health insurance coverage while at Princeton University as an exchange scholar. (princeton.edu)
- If medical coverage is waived at Princeton, J-1 visa holders must be covered for health insurance through their home country, institution, or own private policy. (princeton.edu)
- What types of Georgia health maintenance organization insurance coverage are crucial? (generalliabilityinsure.com)
- Our funding options and group health expense accounts offer even more ways to create health coverage on your terms. (anthem.com)
- Individuals and families that fall between 100 to 400% of the federal poverty level can receive federal subsidies for their health care coverage. (quote.com)
- b) The health maintenance organization shall issue the evidence of coverage, except as provided by Subsection (c). (texas.gov)
- d) By agreement between the health maintenance organization, insurer, or group hospital service corporation and the subscriber or person entitled to receive the evidence of coverage, policy, or contract, the evidence of coverage required by this section may be delivered electronically. (texas.gov)
- An evidence of coverage is not a health insurance policy as that term is defined by this code. (texas.gov)
- 3) in which the evidence of coverage meets the requirements of the definition of "basic health care services" provided by Section 843.002 . (texas.gov)
- e) Notwithstanding any other law, Section 1201.062 applies to an evidence of coverage issued by a health maintenance organization. (texas.gov)
HMO's3
- We wanted to determine whether a health maintenance organization's (HMO's) implementation of a pediatric hospitalist system affected LOS, costs, mortality, readmission rate, follow-up rate, and parents' ratings of care. (aappublications.org)
- HMO's are still one of the more popular health management options that employers offer, for a number of reasons. (thebalancecareers.com)
- Managed-care programs include Health-maintenance Organizations (HMO's) and Preferred-provider Organizations (PPO's). (animated-teeth.com)
Prepaid7
- The provision of health care services on the basis of prepaid rates provides incentives for the organization to emphasize preventive medicine to reduce overall health care costs. (gao.gov)
- The Sound Health Association appears to be providing comprehensive prepaid health care in accordance with the act. (gao.gov)
- What's required is a network of Preventive Health Maintenance Organizations (PHMO) to provide prepaid care for a wide range of alternative or simply relaxing treatments. (thefreedictionary.com)
- The health maintenance organization (HMO) and Seattle fee-for-service (FFS) visits files contain data concerning the use of inpatient and outpatient health services by Seattle FFS participants and participants enrolled in Group Health Cooperative of Puget Sound, a large prepaid group practice in Seattle. (rand.org)
- B) that consists in part of providing or arranging for health care services on a prepaid basis through insurance or otherwise, as distinguished from indemnifying for the cost of health care services. (tx.us)
- Group Health: An American Success Story in Prepaid Health Care , by Mary Jo and Walter H. Uphoff, in collaboration with Russell K. Lewis. (mnhs.org)
- It would not be wise or logical or feasible or probably even legal to use the entire facilities of Moses Cone Hospital as a prepaid provider of-health services. (uncg.edu)
Services35
- Following the approval of the federal Center for Medicare and Medicaid Services ( CMS, formerly the Health Care Financing Administration (HCFA)) on 06/07/1995, recipients of Aid for Families with Dependent Children (AFDC) were required to select an HMO for the provision of their health care services and supplies. (nj.us)
- An HMO is an organized public or private entity that provides basic and supplemental health services to its subscribers. (investopedia.com)
- As of December 31, 1976, it was providing comprehensive health care services to 6,016 members. (gao.gov)
- In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. (wikipedia.org)
- It is this inclusion of services intended to maintain a member's health that gave the HMO its name. (wikipedia.org)
- Some services, such as outpatient mental health care, are limited, and more costly forms of care, diagnosis, or treatment may not be covered. (wikipedia.org)
- I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session. (confex.com)
- United States Department of Health and Human Services. (umich.edu)
- The purpose of the National Health Interview Survey (NHIS) is to obtain information about the amount and distribution of illness, its effects in terms of disability and chronic impairments, and the kinds of health services people receive. (umich.edu)
- Managed-care companies such as health maintenance organizations and preferred provider organizations must select and retain qualified physicians who will provide quality services to their sub scribers, according to Margolis & Co. (thefreedictionary.com)
- HMO Outpatient Health Services Provided at HMO Facility-include physician services, preventive health services, diagnosis and treatment services, skilled nursing facility services, mental health and/or alcohol and drug abuse services, dental care under specific circumstances, and emergency services in and out of the HMO area. (realestateagent.com)
- This codebook describes the contents of a data file from the Health Insurance Experiment (HIE), a large social experiment conducted by The RAND Corporation from 1974 to 1982 under a grant from the U.S. Department of Health and Human Services. (rand.org)
- The new program, known as TennCare, operates as a special demonstration project authorized by the Secretary of Health and Human Services under the waiver authority conferred on him by Section 1115 of the Social Security Act, 42 U.S.C. § 1315. (openjurist.org)
- 1) "Adverse determination" means a determination by a health maintenance organization or a utilization review agent that health care services provided or proposed to be provided to an enrollee are not medically necessary or are not appropriate. (tx.us)
- 2) "Basic health care services" means health care services that the commissioner determines an enrolled population might reasonably need to be maintained in good health. (tx.us)
- 4) "Capitation" means a method of compensating a physician or provider for arranging for or providing a defined set of covered health care services to certain enrollees for a specified period that is based on a predetermined payment per enrollee for the specified period, without regard to the quantity of services actually provided. (tx.us)
- 13) "Health care services" means services provided to an individual to prevent, alleviate, cure, or heal human illness or injury. (tx.us)
- This retrospective, cohort study included members ≥ 21 years old from the Maccabi Healthcare Services, a large health maintenance organization in Israel, who were diagnosed with FM from 2008 through 2011. (jrheum.org)
- The conclusion is that the organization of mental health services is strongly influenced by whether the HMO is organized as a group-based delivery system or as a contractually-linked set of independent providers. (semanticscholar.org)
- Name restrictions - Discrimination - Recovery of costs of health care services participant not entitled to. (wa.gov)
- Therefore, an HMO is an organization that has the sole purpose of providing equal access to health care services in exchange for members agreeing to certain terms. (thebalancecareers.com)
- DefinitionIllustrative caselaw A health care delivery system where the provider offers a participant a comprehensive range of health services for a fixed premium. (cornell.edu)
- Even before the enactment of the law, an organization called Group Health, Inc., had been providing medical services to its subscribing members since 1957. (mnhs.org)
- Workplace wellness programs are increasingly adopted by companies for their value in improving the health and well-being of their employees, as are school health services in order to improve the health and well-being of children. (chiefofleast.com)
- As per the Constitution of Canada, health care is mainly a provincial government responsibility in Canada (the main exceptions being federal government responsibility for services provided to aboriginal peoples covered by treaties, the Royal Canadian Mounted Police, the armed forces, and Members of Parliament). (chiefofleast.com)
- Under the Canada Health Act, the federal government mandates and enforces the requirement that all people have free access to what are termed "medically necessary services," defined primarily as care delivered by physicians or in hospitals, and the nursing component of long-term residential care. (chiefofleast.com)
- Four provinces allow insurance for services also mandated by the Canada Health Act, but in practice there is no market for it. (chiefofleast.com)
- Inpathy, Aetna's in-network telemental health services provider (also known as Televideo): Call (800) 442-8938. (princeton.edu)
- Georgia health maintenance organization insurance protects your HMO insurance and health services business from lawsuits with rates as low as $77/mo. (generalliabilityinsure.com)
- The briefest definition of an HMO is A corporation which provides health services to enrollees on a prepayment per capita basis. (uncg.edu)
- The health services may be provided by the corporation or may be subcontracted in part or in whole. (uncg.edu)
- Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies, for the fiscal year ending September 30, 1995, and for other purposes. (govtrack.us)
- In general, the more you are willing to pay out-of-pocket for health care services, like doctor visits or prescription medications, the less you will pay for your monthly premium. (illinois.gov)
- Use of services by diabetes patients in managed care organizations. (jamanetwork.com)
- Stat., that makes available to its enrolled participants in consideration for predetermined periodic fixed payments, comprehensive health care services performed by providers selected by the organization. (wi.gov)
20212
- This virtual symposium gathered a range of experts after election day to discuss how the results could influence the health policy agenda in 2021 and beyond. (allhealthpolicy.org)
- 2021 CT Health Insurance Channel. (cthealthchannel.org)
Large health maintenance2
- By presenting physicians and patients with recent evidence about the safety of short- acting nifedipine, a large health maintenance organization was able to motivate broad-scale changes to safer alternative drug therapies. (elsevier.com)
- Golston, Alan G. / Replacing short-acting nifedipine with alternative medications at a large health maintenance organization . (elsevier.com)
Hospitals2
- Health Insurance Alert: Out-of-Network Rip-Offs [ez_date] Much has been made in the health insurance debate surrounding Obamacare of the growing reliance by health insurers on "narrow networks" of doctors and hospitals willing to accept their discounted payments as a means of keeping healthcare costs under control. (ourhealthcaresucks.com)
- The HMO contracts with doctors, hospitals, and other health care professionals to serve members 24 hours a day, seven days per week. (generalliabilityinsure.com)
Definition1
- 1984 WHO revised the definition of health defined it as "the extent to which an individual or group is able to realize aspirations and satisfy needs and to change or cope with the environment. (chiefofleast.com)
Hospitalization2
- OBJECTIVE: The objective of this study was to estimate the effect of Medicare Health Maintenance Organization (HMO) enrollment on hospitalization rates and total inpatient days for ambulatory care-sensitive conditions (ACSCs) after controlling for selection. (rand.org)
- A Health Maintenance Organization (HMO) provides a wide range of benefits that cover the entire health care spectrum, from preventive care and education to physician care, surgery and hospitalization. (cthealthchannel.org)
Enrollment2
- SUBJECTS: Enrollment data on Medicare beneficiaries in California were linked to hospital discharge data from the California Office of Statewide Health Planning and Development for January through December 1996. (rand.org)
- In administrative areas an HMO must prove its fiscal soundness, offer a standard grievance procedure to its members and allow open enrollment at specific intervals, regardless of the current health of an applicant. (thecrimson.com)
Outpatient1
- and utilization of inpatient and outpatient health care. (diabetesjournals.org)
19932
- Organization founded in 1993, the thesis of which is to apply quality management principles to insurance functions. (realestateagent.com)
- Minneapolis, MN : The Organization, 1985-1993. (mnhs.org)
Typically4
- A primary care physician is typically an individual's first point of contact for all health-related issues. (investopedia.com)
- One organization, typically a national government, covers all the costs of its citizens' health care in a single-payer system. (benzinga.com)
- Health insurance policies typically cover eye care only if you have a medical issue. (benzinga.com)
- CDHPs are typically paired with a Health Savings Account (HSA). (anthem.com)
Employers4
- Because patients increasingly carried health insurance, often through their employers, they did not have incentives to question the physicians' advice. (encyclopedia.com)
- and required employers with 25 or more employees to offer federally certified HMO options IF they offered traditional health insurance to employees. (wikipedia.org)
- It did not require employers to offer health insurance. (wikipedia.org)
- H.M.O.s experienced a backlash in the early 1990s after employers embraced them as a solution to rising health care costs, and patients and doctors complained about strategies they said were aimed at keeping patients from getting the care they needed. (swimincorp.com)
Search1
- It's important to know how health insurance is organized and what it will and won't cover before you search how to get health insurance . (benzinga.com)
Capitation payments2
Organization's2
- The costs attributable to the 25 conditions accounted for 78 percent of the health maintenance organization's total direct medical expense for this age-group. (nih.gov)
- 6) "Complaint" means any dissatisfaction expressed orally or in writing by a complainant to a health maintenance organization regarding any aspect of the health maintenance organization's operation. (tx.us)
Insurer1
- This packet summarizes the procedures for incorporating and licensing a domestic, not for profit, health maintenance organization insurer in Wisconsin under ch. 613, Wis. (wi.gov)
Utilization5
- CONCLUSIONS: A 6-month cluster visit group model of care for adults with diabetes improved glycemic control, self-efficacy, and patient satisfaction and resulted in a reduction in health care utilization after the program. (diabetesjournals.org)
- Payers recover significant savings and reduce utilization rates by leveraging PLEXIS' real-time alerts, automatic audits, health risk assessments (HRAs), responsive reporting, and more. (plexishealth.com)
- Health Care Utilization in Chronic Obstructive Pulmonary Disease: A Case-Control Study in a Health Maintenance Organization. (jamanetwork.com)
- Hurley JFrost FGTrinkaus KMBuatti MCEmmett KE Relationship of compliance with hormone replacement therapy to short-term health care utilization in a managed care population. (jamanetwork.com)
- The diagnoses and mental health utilization associated with their use are explored, and concomitant drug use is investigated. (elsevier.com)
Physicians4
- The organization secures its network of health providers by entering into contracts with primary care physicians, clinical facilities, and specialists. (investopedia.com)
- These health insurers partner with a network of physicians. (generalliabilityinsure.com)
- This position paper of the American College of Physicians (ACP) provides ample evidence illustrating that minorities do not always receive the same quality of health care, do not have the same access to health care, are less represented in the health professions, and have poorer overall health status than nonminorities. (annals.org)
- The American College of Physicians (ACP), whose mission is "to enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine," has a long-standing commitment to improving public health. (annals.org)
Healthcare4
- Elective healthcare procedures are procedures that are not required to maintain your overall health and often aren't covered by health insurance. (benzinga.com)
- In addition to writing for a variety of publications, Scott also offers his insights on healthcare technology and its leaders on his site, Electronic Health Reporter . (multibriefs.com)
- Any business employing 50 or more people that does not offer health insurance to full-time employees must pay a tax penalty if the government has subsidized a full-time employee's healthcare through tax deductions. (quote.com)
- FHCP is a healthcare maintenance organization with a large network of providers. (afionline.org)
Primary care phys3
- Generally, members of an HMO can only see a health care specialist (hematologist, cardiologist, rheumatologist) if they get a referral from their primary care physician, also known as a gatekeeper. (cascadehc.org)
- Your primary care physician serves as your health care advocate and will help you find the best treatment for physical and mental health problems you might face. (cascadehc.org)
- Like an HMO, you will need to pick a regular doctor, called a primary care physician (PCP), to help monitor your health care. (illinois.gov)
Insurers1
- health maintenance organization subject to requirements for certain insurers. (nv.us)
Centers for Diseas1
- The Centers for Disease Control and Prevention (CDC) reports that "relatively little progress has been made toward the goal of eliminating racial/ethnic disparities" among a wide range of health indicators (1) . (annals.org)
Federally qualified health1
- NRS 695C.123 Contracts with certain federally qualified health centers. (nv.us)
Physician2
- HMO Managing Physician & new member can select an HMO physician, who is then responsible for providing all of his or her health care needs. (realestateagent.com)
- There is a central place for physician-based review in 'pro-competitive' health-care-financing systems and multiple sources of funding and a linkage of local PSRO budgets to local effectiveness could further enhance the performance of the best PSROs. (semanticscholar.org)
Chapter4
- This chapter may be cited as the Texas Health Maintenance Organization Act. (tx.us)
- 9-b) "Freestanding emergency medical care facility" means a facility licensed under Chapter 254 , Health and Safety Code. (tx.us)
- c) A health maintenance organization shall comply with Subchapter B, Chapter 542 , with respect to prompt payment to an enrollee. (texas.gov)
- d) Notwithstanding any other law, Subchapter C, Chapter 1355 , applies to a group contract issued by a health maintenance organization. (texas.gov)
Hypertension1
- High blood pressure (also known as hypertension) is the health condition of having blood pressure readings above 140/90 mmHg, over a number of weeks. (reliancehmo.com)
Mental3
- Mental health treatment - Waiver of preauthorization for persons involuntarily committed. (wa.gov)
- Mental, intellectual, emotional and social health referred to a person's ability to handle stress, to acquire skills, to maintain relationships, all of which form resources for resiliency and independent living. (chiefofleast.com)
- On the medical side, these standards require any certified HMO to provide regular preventive physical, mental health, drug, and alcohol care. (thecrimson.com)
Wolters Kluwer2
Medical9
- The term "health maintenance organization" originated in the 1970s and is credited to Paul Ellwood, a policy adviser to the federal government on medical care. (encyclopedia.com)
- Health Maintenance Organization (HMO) is a term first conceived of by Dr. Paul M. Ellwood, Jr. The concept for the HMO Act began with discussions Ellwood and his Interstudy group members had with Nixon administration advisors who were looking for a way to curb medical inflation. (wikipedia.org)
- Get details on your medical and pharmacy claims to better manage your health benefits. (bcbsla.com)
- If you already possess some knowledge of medical care and wish to be a health care professional, or Recommended Internet page in case you are a health care worker, but want to get started your own process and earn a little extra salary. (daytonamagazine.club)
- You are able to offer good quality maintenance at competitive prices after which shift the profits for the medical doctor to make money. (daytonamagazine.club)
- Health care companies classify a medical expense as either elective or nonelective procedures. (benzinga.com)
- A nonelective procedure is a medical need that is required to maintain your health, while an elective procedure is often not. (benzinga.com)
- Subsequently, clients who opt to insure themselves through the Health Maintenance Organization may access covered medical care through this network. (generalliabilityinsure.com)
- Health insurance helps cover these medical expenses, from routine visits and prescriptions to specialists and nuclear imaging. (quote.com)
Enrollees1
- Enrollees go to their primary provider for health care or referrals to specialists. (albany.edu)
Preventive health1
- With traditional insurance programs these preventive health measures are not covered and must be paid for by the member. (thecrimson.com)
Nonprofit2
- A nonprofit organization that offers health insurance to a group of persons and charges members of the group the same monthly premium. (thefreedictionary.com)
- Which company or nonprofit offers the best health insurance in Colorado? (benzinga.com)
Providers4
- An individual who needs to secure health insurance may find a variety of health insurance providers with unique features. (investopedia.com)
- In many cases, the HMO supports preventative wellness care, which is what health care providers advocate for. (thebalancecareers.com)
- You'll be given a list of health care providers that you can visit. (benzinga.com)
- Do you prefer having one doctor who recommends other providers for your total health care? (illinois.gov)
Outcomes3
- This project assessed implementation of tobacco control policies and cessation outcomes in nine non-profit health maintenance organizations across the United States. (confex.com)
- The aim of this study was to 1) assess if there were differences in staff attitudes within a national OMT programme, and 2) investigate the associations of staff attitudes with treatment organisation, clinical practices and outcomes. (biomedcentral.com)
- Data describing treatment organisation, clinical practices and patient outcomes in these centres were extracted from the annual OMT programme assessment 2007. (biomedcentral.com)
Liability3
- Providing information on cancellation or refusal - No liability for insurance commissioner or health maintenance organization. (wa.gov)
- Preventive maintenance also reduces building liability risk. (multibriefs.com)
- Taking on maintenance early can significantly reduce liability for those in the building while reducing safety hazards and increasing productivity levels. (multibriefs.com)
Institution1
- Your organization or institution (if applicable), e.g. (bmj.com)
Medicaid4
- Health First Colorado is a health care network funded in part by Medicare and Medicaid. (benzinga.com)
- Medicaid Health Maintenance Organizations: Can They Reduce Program Spending? (lww.com)
- Individuals and families facing financial hardship can receive insurance at a reduced rate through special government programs such as Medicaid and the Children's Health Insurance Program (CHIP). (quote.com)
- Iglehart JK The American health care system: Medicaid. (jamanetwork.com)
Delivering health care1
- d)Fee-for-service methods of delivering health care have perverse incentives to provide unnecessary health care at inflated costs. (gmatclub.com)
Benefits3
- 3) "Blended contract" means a single document that provides a combination of indemnity and health maintenance organization benefits. (tx.us)
- A person may also be able to use the gym facilities and enjoy complimentary health benefits, such as massages. (medicalnewstoday.com)
- Data on detailed provisions of health insurance and retirement benefits for both private industry and state and local government also are available. (bls.gov)
19752
- The 1975 Health Maintenance Organization (HMO) Supplement provides variables from the core Person File (see HEALTH INTERVIEW SURVEY, 1975 [ICPSR 7672]) including sex, age, race, marital status, veteran status, education, income, industry and occupation codes, and limits on activity. (umich.edu)
- Minneapolis: Twin City Health Care Development Project, Federal Reserve Bank, 1975. (mnhs.org)
Definitions1
- Just as there was a shift from viewing disease as a state to thinking of it as a process, the same shift happened in definitions of health. (chiefofleast.com)
Members1
- In this study, exposure to antipsychotic drugs among ambulatory health maintenance organization (HMO) members is described. (elsevier.com)
Diabetes2
- Diabetes management in a health maintenance organization. (diabetesjournals.org)
- Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort. (diabetesjournals.org)
Payroll1
- Health insurance contributions are deducted from payroll checks on a pre-tax basis if an employee elects in writing to participate in the Pre-Tax Contribution Program (PTCP) . (albany.edu)
Provide1
- To provide in-depth perspective on some aspects of disparities in health care, we have commissioned 4 brief commentaries (see pages 221-225). (annals.org)
Costs5
- Payers keep costs from spiraling out of control through early identification of outliers and critical health issues. (plexishealth.com)
- As a result, each citizen is expected to contribute to his or her own health care costs. (benzinga.com)
- The federal government influences health insurance by virtue of its fiscal powers - it transfers cash and tax points to the provinces to help cover the costs of the universal health insurance programs. (chiefofleast.com)
- Deferred facility maintenance costs can run the gamut, including managing staffing the maintenance department, but specific areas of the budget can be hard to nail down. (multibriefs.com)
- Preventive maintenance, done regularly, increases facility life and leads to reduced costs of buildings failing prematurely. (multibriefs.com)
Indemnity1
- Blue Cross and Blue Shield of Louisiana, incorporated as Louisiana Health Service & Indemnity Co., offers Blue Advantage (PPO). (bcbsla.com)
Preventative1
- Preventative maintenance keeps equipment and building in check as repairs are made as needed. (multibriefs.com)