Health Maintenance Organization

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Related to Health Maintenance Organizations: Preferred provider organizations

Health Maintenance Organization

Commonly called an HMO. A nonprofit organization that offers health insurance to a group of persons and charges members of the group the same monthly premium. Most HMOs require policyholders to have a primary physician who provides referrals for specialists and other medical services. Without these referrals, medical care generally will not be covered. This fact has made HMOs somewhat controversial. However, they generally operate at a lower out-of-pocket cost to consumers. They trace their origins to the early 20th century, but became more popular after the Health Maintenance Organization Act of 1973.
References in periodicals archive ?
OTCBB:SFGD), through its Texas dental health maintenance organization subsidiary, and HumanaDental, the dental insurance subsidiary of Humana Inc.
The threat of losing AARP approval will be a powerful incentive for health maintenance organizations to abide by those standards.
Health Plan of Nevada is the largest health maintenance organization in the state, with over 260,000 members enrolled in commercial, individual, point-of-service, Medicare or Medicaid programs.
For example, reacting to complaints that some health maintenance organizations exclude or expel doctors for ordering tests or consultations the health plans deem unnecessary, half a dozen states - including Illinois and Georgia - have required them to include any physician who has the appropriate credentials.
The group will keep the health maintenance organizations under continuous review, he said, backed by the right to drop any that fail to measure up.
6 million members primarily through the operation of health maintenance organizations and preferred provider organizations.
At a time when earnings momentum is slowing in other sectors of the economy, the outlook for health maintenance organizations remains strong, according to a report by John Szabo, healthcare services analyst for CIBC World Markets.
15 /PRNewswire/ -- The nation's health maintenance organizations have been called on by the Clinton administration to take a lead role in the Childhood Immunization Initiative, according to Group Health Association of America (GHAA).
MAMSI's two largest health maintenance organizations, MD-Individual Practice Association, Inc.
NASDAQ: HOME) today announced that the company entered into an exclusive contract with Humana's Arizona Commercial and Medicare (Gold Plus) Health Maintenance Organizations (HMOs).
More than 1,000 of the patient's in the trials belong to 34 different health maintenance organizations (HMOs).
Before joining Towers Perrin, Veit worked in the public and private sectors of the healthcare industry and assisted with the creation of The Harvard Community Health Plan, one of the first and most successful health maintenance organizations under the sponsorship of Harvard Medical School.

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