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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).
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 ...
Managed care plans and strategies proliferated and quickly became nearly ubiquitous in the U.S. However, this rapid growth led to a consumer backlash. Because many managed care health plans are provided by for-profit companies, their cost-control efforts are driven by the need to generate profits and not providing health care. [5]
Some suggest that the medical home mimics the managed care "gatekeeper" models historically employed by HMOs; however, there are important distinctions between care coordination in the medical home and the "gatekeeper" model. [24] [49] In the medical home, the patient has open access to see whatever physician they choose. No referral or ...
The speculation surrounding Mangione unleashed online scorn at UnitedHealthcare and U.S. health insurance industry that serves as gatekeeper to the nation's $4.5 trillion health care system.
Today, about 19% of people 65 and older in the U.S. are still working, up from 10% four decades ago. ... in a series of jobs that had health insurance and a 401(k) and paid $10 to $12 per hour ...
The Medicare hospice benefit produces an incentive to recruit as many new patients as possible — and to keep them on the service as long as possible. Unlike other segments of the health care industry, where revenues and costs can vary widely, Medicare pays a set daily rate for each person in hospice care, with higher allowances for patients ...