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HMO. Health Maintenance Organization plans are often considered the most affordable insurance option. With low deductibles and low copays for doctor visits and pharmaceuticals, HMOs are affordable ...
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] 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 ...
Health Maintenance Organization (HMO) is a term first conceived of by Dr. Paul M. Ellwood, Jr. [4] The concept for the HMO Act began with discussions Ellwood and his Interstudy group members had with Nixon administration advisors [5] who were looking for a way to curb medical inflation. [6] Ellwood's work led to the eventual HMO Act of 1973. [7]
HEDIS results must be audited by an NCQA-approved auditing firm for public reporting. NCQA has an on-line reporting tool called Quality Compass that is available for a fee of several thousand dollars. It provides detailed data on all measures and is intended for employers, consultants and insurance brokers who purchase health insurance for groups.
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The use of acronyms to describe medical trials has been criticised as potentially leading to incorrect assumptions based on similar acronyms, difficulty accessing trial results when common words are used, and causing a cognitive bias when positive acronyms are used to portray trials (e.g. "HOPE" or "SMART"). [8]
An HMO is a health maintenance organization, an organization that provides or arranges managed care. HMO or hmo may also refer to: Codes.
As defined in the act, a federally-qualified HMO would, in exchange for a subscriber fee (premium), allow members access to a panel of employed physicians or a network of doctors and facilities including hospitals. In return, the HMO received mandated market access and could receive federal development funds.