• 1994
  • This study focused on changes in demographic, social, and health-care patterns and pregnancy outcome related to maternal age from 1978-79 to 1994 in Ribeirão Preto, São Paulo State, Brazil. (scielo.br)
  • medical care
  • or for medical care in a foreign country. (thefreelibrary.com)
  • A person who participates in an HMO deals with a primary care physician, who directs the person's medical care and determines whether he or she should be referred for specialty care. (thefreedictionary.com)
  • Medical care. (wikipedia.org)
  • A 2001 survey indicated that 27 percent of the population still had no access to medical care, public or private. (wikipedia.org)
  • In discussion in the White House on February 17, 1971, Nixon expressed his support for the essential philosophy of the HMO, which John Ehrlichman explained thus: "All the incentives are toward less medical care, because the less care they give them, the more money they make. (wikipedia.org)
  • During this period, medical care was severely lacking for the poor and minorities such as First Nations The twentieth century saw the discovery of insulin by Frederick Banting and his colleagues, Charles Best, J.J.R. Macleod, and J.B. Collip in 1922. (wikipedia.org)
  • He institutionalized a revolutionary idea, pre-paid medical care for workers, which soon expanded beyond workers. (wikipedia.org)
  • Sponsored by Kaiser's Permanente Foundation, it was run by Medical Director Sidney R. Garfield, M.D. The Field Hospital served as the mid-level component of a three-tier medical care system that also included six well-equipped First Aid Stations at the individual shipyards, and the main Permanente Hospital in Oakland, where the most critical cases were treated. (wikipedia.org)
  • This hospital was set up to provide medical care for the 5,000 workers on the Metropolitan Water District of Southern California's aqueduct, which was designed to bring water from the Colorado River to Los Angeles. (wikipedia.org)
  • The system worked so well that Garfield decided to offer total medical care for the workers for an additional nickel a day from the workers themselves. (wikipedia.org)
  • utilization
  • The vendor must be able to provide information and counseling to a provider whose practice patterns are outside the norms, in consultation with the agency, to improve patient care and reduce inappropriate utilization. (flsenate.gov)
  • Medicare
  • Medicare, a two-part plan, is available to persons aged 65 and over (and certain disabled persons) eligible for Social Security or Railroad Retirement benefits. (thefreelibrary.com)
  • Care for these patients costs one-fourth of the Medicare budget . (thebalance.com)
  • Medicare helped create an overreliance on hospital care. (thebalance.com)
  • Some exchanges offer several plans from a single carrier, while others offer plans from several - anywhere from three or four carriers on private exchanges for employees, to over 100 carriers on private Medicare exchanges. (wikipedia.org)
  • Although the concept of private exchanges has existed for decades, the first successful private exchanges arose in the retiree health benefits sector in the form of Medicare exchanges. (wikipedia.org)
  • The first Medicare exchange was operated by Extend Health, which launched in 2005, and allowed car manufacturer Chrysler to move its retirees from its cost-prohibitive group plan and into the individual Medicare market, where retirees could choose their coverage to fit their budget and health care needs. (wikipedia.org)
  • 1944
  • The federal HMO Act amended the Public Health Service Act, which Congress passed in 1944. (wikipedia.org)
  • By August 1944, 92.2 percent of all Richmond shipyard employees had joined the plan, the first voluntary group plan in the country to feature group medical practice, prepayment and substantial medical facilities on such a large scale. (wikipedia.org)
  • 2016
  • In 2016, U.S. health care costs were $3.3 trillion. (thebalance.com)
  • That translates to an annual health care cost of $10,348 per person in 2016 versus just $146 per person in 1960. (thebalance.com)
  • Two additional Neighborhood Care sites were subsequently established in Chinatown in December 2013 and in Crown Heights in April 2016. (wikipedia.org)
  • In February 2016, EmblemHealth announced a new partnership with the City of New York and the Municipal Labor Committee to provide expanded access to health care. (wikipedia.org)
  • reform
  • Government efforts to reform health care and cut costs raised them instead. (thebalance.com)
  • The debate over National Health Care reform escalated during the first term of the Clinton administration. (thefreedictionary.com)
  • Subsequently, when the Clinton administration was grappling with health care reform, the Jackson Hole Group, according to the New York Times, was "one of the most important influences in the shaping of the Clinton plan. (wikipedia.org)
  • Wellness
  • and the Center for Community Health and Wellness, the largest freestanding ambulatory care center in New York State. (wikipedia.org)
  • HMSA's health and wellness programs help members stay healthy and avoid costly chronic diseases. (wikipedia.org)
  • Launched in 2009, HMSA365 was created in conjunction with the national Blue365, a health and wellness discount program of the Blue Cross and Blue Shield Association. (wikipedia.org)
  • In November 2012, EmblemHealth began establishing a community presence in its service area by launching a hybrid care coordination and wellness program called Neighborhood Care. (wikipedia.org)
  • The facilities also host informational sessions, health screenings, health and wellness activities, exercise classes, and sponsorships of local farmers' markets. (wikipedia.org)
  • establish
  • Armed with a five-year, $750,000 grant from the U.S. Agency for International Development, Land O' Lakes aproached HealthPartners in 1997 to help dairy cooperatives in rural Uganda establish sustainable, prepaid health care delivery programs. (managedcaremag.com)
  • By the end of the project, our goal is to establish a locally operated, self-sustaining prepaid health care delivery program that measurably decreases mortality and increases quality of life. (managedcaremag.com)
  • 1999
  • In 1999, the National Committee for Quality Assurance (NCQA) awarded Health Plan Hawaii with the highest HMO accreditation possible. (wikipedia.org)
  • program
  • William Lyon Mackenzie King promised to introduce such a scheme, but while he created the Department of Health he failed to introduce a national program. (wikipedia.org)
  • scheme
  • In addition, we began educating hospital, cooperative, and community leaders about the steps necessary to set up a prepaid system (or "scheme," as, following British usage, it is positively referred to in Uganda). (managedcaremag.com)
  • provide
  • GAO also found that the Health Care Financing Administration (HCFA) and Arizona did not provide adequate financial oversight in the first few years of AHCCCS and, as a result, AHCCCS plans neither complied with federal disclosure requirements nor filed state-mandated financial reports. (gao.gov)
  • Plan B does not provide for suchitems as care in a nursing home, prescription drugs, and routine physical exams. (thefreelibrary.com)
  • In either case, the HMO takes a greater level of involvement in the patient's care, assigning a case manager to the patient or a group of patients to ensure that no two providers provide overlapping care, and to ensure that the patient is receiving appropriate treatment, so that the condition does not worsen beyond what can be helped. (wikipedia.org)
  • Tommy Douglas had hoped to provide universal health care, but the province did not have the money. (wikipedia.org)
  • Group
  • The husband of a nurse who said she was told by doctors not to worry about a growing lump in her breast during pregnancy won a $651,482 decision yesterday against a prepaid group medical practice for a misdiagnosis of the cancer that eventually led to her death. (washingtonpost.com)
  • These prepaid plans restricted users to a particular medical group. (thebalance.com)
  • Through the collection of dues - an average premium is about $1.98 per month for a family of four - members receive the health care benefits that they decide as a group to buy. (managedcaremag.com)
  • In 1971, Ellwood founded the Jackson Hole Group, a "loosely organized but highly regarded" group of politicians, providers, and policymakers who came together in the town of Jackson Hole, Wyoming to discuss ideas for changing the health care incentive structure. (wikipedia.org)
  • A key member of the group was Alain Enthoven, a Stanford economist who was instrumental in shaping the concept of "managed competition" in health care. (wikipedia.org)
  • The plan was called managed competition, and two of its most prominent advocates from the Jackson Hole Group were Ellwood and Alain Enthoven. (wikipedia.org)
  • expenditure
  • Community Based Long-Term Care, Half-Year Expenditure Split, Hospice Request, and Footnote Colorado Choice Transitions. (colorado.gov)
  • 1993
  • Although 18 states offered managed care plans for disabled or elderly beneficiaries eligible for Supplemental Security Income (SSI) in 1993, only a small fraction of this population is enrolled in managed care. (kff.org)
  • members
  • HealthPartners also provides health education to members of the cooperatives and their communities, and customizes and promotes schemes among cooperative groups and others. (managedcaremag.com)
  • The name was chosen because health plan members can receive the discounts 365 days of the year to help them stay healthy and fit. (wikipedia.org)
  • ConnectiCare's members have access to a provider network of approximately 19,900 health care providers. (wikipedia.org)
  • access
  • It reflects the widely held belief that managed care can improve health care access as well as promote cost containment and budget control. (kff.org)
  • Open access" and "POS" (point of service) products are a combination of an HMO and traditional indemnity plan. (wikipedia.org)
  • physician
  • POS plans recommend that patients choose a personal physician from inside the network. (pelliccionifinancialconsulting.com)
  • In the portal, users are guided by decision support tools, such as educational articles and videos, plan comparison tools, physician look-up tools, cost estimators, and recommendations to help them make informed choices. (wikipedia.org)
  • cost containment
  • Although businesses pursued the HMO model for its alleged cost containment benefits, some research indicates that private HMO plans don't achieve any significant cost savings over non-HMO plans. (wikipedia.org)