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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 ...
The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted on December 29, 1973. 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).
United Health Services (UHS) (United Health Services Hospitals, Inc.) is the largest and most comprehensive provider of healthcare services in upstate New York's Southern Tier. [ 3 ] A locally owned, not-for-profit system, it is governed by a volunteer board of directors composed of residents from around the region. [ 4 ]
POS. A Point of Service plan falls between HMOs and PPOs in terms of cost and combines features of both plans. POS plans allow you to choose what type of care you want at the beginning of every ...
Paul Murdock Ellwood Jr. (July 16, 1926 – June 20, 2022) was an American physician and a controversial figure in American health care.Often referred to as the "father of the health maintenance organization", [1] [2] he not only coined the term, he also played a role in bringing about structural changes to the American health care system to simultaneously control cost and promote health by ...
UnitedHealth Group Incorporated is an American multinational for-profit company specializing in health insurance and health care services based in Minnetonka, Minnesota. Selling insurance products under UnitedHealthcare , and health care services under the Optum brand, it is the world's ninth-largest company by revenue and the largest health ...
In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis.
Case management focuses on delivering personalized services to patients to improve their care, and involves four steps: Referral of new patients (perhaps from another service if the client has relocated to a new area out of previous jurisdiction, or if client no longer meets the target of previous service, such as requiring a greater level of ...
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