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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).
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 ...
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 ...
Download as PDF; Printable version; In other projects ... Pages in category "Health maintenance organizations" ... Health Maintenance Organization Act of 1973; Aetna; B.
The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations. [1] The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they ...
The "Bipartisan Patient Protection Act" , sponsored by Senators Edward Kennedy and John McCain, contained new rules for what health maintenance organizations had to cover and granted new rights for patients to sue in state or federal courts, if they are denied needed care. [12]
Challenging the uncited claim HMOs were widespread claim: Actually, in the 90s, HMOs seriously declined, generally becoming/splitting into insurers and independent health care facilities. What were once HMOs now seem to be referred to as "integrated health". I say this as an observer of the HMOs in New England, and a former client/patient of MTHP.
The origins of the Health Maintenance Organization Act of 1973 are presented using a taped conversation between John Ehrlichman and President Richard Nixon on February 17, 1971; Ehrlichman is heard telling Nixon that "the less care they give them, the more money they make", a plan that Nixon remarked was "fine" and "not bad".