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Health Maintenance Organization
(redirected from Health Maintenance Organizations)

   Also found in: Dictionary/thesaurus, Medical, Legal, Encyclopedia, Wikipedia 0.01 sec.
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.


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Major types * Health Maintenance Organizations (HMO) * Preferred Provider Organizations (PPO) * Point-of-service plans (POS) HEALTH-CARE CHOICES: The 2003 Medicare Modernization Act allows individuals to combine a pretax savings account with a high-deductible health plan to establish a health savings account.
Facey is buying the medical centers' equipment, taking over the two leases, hiring their physicians and staffers, and requesting that their health maintenance organizations transfer patients to existing Facey contracts, Swanson said.
But, by using a few horror stories, lots of journalistic research and some good explanations of medical insurance jargon, Anders shows how often cost has overruled compassion and good medical care when health maintenance organizations (HMOs) become the managers of health insurance plans.
 
 
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