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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).
Employers with 25 or more employees were required to offer federally certified HMO options alongside indemnity upon request This last provision, called the dual choice provision, was the most important, as it gave HMOs access to the critical employer-based market that had often been blocked in the past.
Community health centers that receive federal funding through the Health Resources and Services Administration, an agency of the U.S. Department of Health and Human Services, are also called "Federally Qualified Health Centers". There are now more than 1,250 federally supported FQHCs with more than 8,000 service delivery sites.
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 ...
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.
The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options. [112] Unlike traditional indemnity insurance, an HMO covers only care rendered by those doctors and other professionals who have agreed to treat patients in accordance with the HMO's guidelines and restrictions ...
Original Medicare. 2024 cost. Part A. $0 in most cases, thanks to Medicare taxes from working 10 years or more. Part A deductible. $1,632 for every hospital benefit period, without any limits ...
visiting a Federally Qualified Health Center (FQHC), which may provide low cost dental services on a sliding scale regardless of income.