Last edited by Voodookasa
Monday, April 20, 2020 | History

6 edition of Health maintenance organizations found in the catalog.

Health maintenance organizations

dimensions of performance

by Harold S. Luft

  • 98 Want to read
  • 18 Currently reading

Published by Transaction Books in New Brunswick, U.S.A .
Written in English

    Places:
  • United States.
    • Subjects:
    • Health maintenance organizations -- United States.,
    • Health Maintenance Organizations -- United States.

    • Edition Notes

      StatementHarold S. Luft.
      Classifications
      LC ClassificationsRA413.5.U5 L83 1987
      The Physical Object
      Paginationxxx, 468 p. :
      Number of Pages468
      ID Numbers
      Open LibraryOL2736482M
      ISBN 100887386814
      LC Control Number86030930


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Health maintenance organizations by Harold S. Luft Download PDF EPUB FB2

Health maintenance organizations (HMOs) provide health insurance coverage for a monthly or annual fee. An HMO limits member coverage to medical care provided through a network of doctors and other. Health maintenance organizations (HMOs) are a type of managed care health insurance plan that features a network of health care providers that treat a patient population for a prepaid cost.[1] As prepaid health plans, HMOs combine financing and care delivery and thus allegedly provide an incentive to provide cost-efficient quality care.[2] The motivation for the emergence of HMOs was a desire.

W.C. Cockerham, B.P. Hinote, in International Encyclopedia of Public Health, Health maintenance organizations (HMOs) are managed care prepaid group practices in which a person pays a monthly premium for comprehensive health-care services. HMOs are oriented toward preventive and ambulatory services intended to reduce rates of Health maintenance organizations book.

In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. 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 providers (hospitals, doctors, etc.) on a prepaid basis.

A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage.

HMOs often provide integrated care and focus on prevention and wellness. Start studying Health Maintenance Organizations. Learn vocabulary, terms, and more with flashcards, games, and other study tools. COVID Resources. Reliable information about the coronavirus (COVID) is available from the World Health Organization (current situation, international travel).Numerous and frequently-updated resource results are available from this ’s WebJunction has pulled together information and resources to assist library staff as they consider how to handle coronavirus.

Health maintenance organizations (HMOs) constitute a type of managed care plan, whereby a group of hospitals, physicians, and other health‐care providers agree to render health services to beneficiaries for a predetermined monthly amount, also referred to as capitation rates.

Health Maintenance Organizations Ranked by S. Fla. enrollment March Locally Researched by: Gilberto Medina, South Florida Business Journalam EDT. Health maintenance organizations. Cambridge, Mass.: MIT Press, © Other issues --Research in resource allocation in a prepaid group practice / James A.

Hester --Dental care and the health maintenance organization concept / Max H. Schoen --The pricing behavior of medical groups Health maintenance organizations book Richard M. Scheffler --Prepaid Book\/a>, schema. Unfortunately, this book can't be printed from the OpenBook.

If you need to print pages from this book, we recommend downloading it as a PDF. Visit to get more information about this book, to buy it in print, or to download it as a free PDF.

Health Maintenance Organizations. Español. A health maintenance organization (HMO) is a type of health plan that provides care to members through a network of doctors, hospitals, and other providers.

The providers in an HMO’s network have agreed to treat HMO members at a discounted rate. This allows the HMO to control costs, so out-of-pocket. Health maintenance organization (HMO), organization, either public or private, that provides comprehensive medical care to a group of voluntary subscribers, on the basis of a prepaid contract.

HMOs bring together in a single organization a broad range of health services and deliver those services for a fixed, prenegotiated fee. Health Maintenance Organizations: Dimensions of Performance: Medicine & Health Science Books @ ed by:   Open Library is an open, editable library catalog, building towards a web page for every book ever published.

Health maintenance organizations by John B. Pages:   Locally Researched by: Denise Hicks, Orlando Business Journalam EST Information for this list was gathered from Florida Office of. The Company Licensing and Registration office is responsible for licensing and related activities of Health Maintenance Organizations.

HMO applications are reviewed pursuant to Chapter of the Texas Insurance Code and Ti Part 1, Chapter 11 of the Texas Administrative Code.

Find health maintenance organizations in Surrounding Riverside, CA on Yellowbook. Get reviews and contact details for each business including videos, opening hours and more.

Pages in category "Health maintenance organizations" The following 28 pages are in this category, out of 28 total. This list may not reflect recent changes (). Find health maintenance organizations in Spokane, WA on Yellowbook.

Get reviews and contact details for each business including videos, opening hours and more. Health maintenance organizations, or HMOs, are a type of health insurance plan.

If your coverage is an HMO, you’ll need to pick a primary care physician (or your insurer will pick one for you), and that person will serve as a “gatekeeper,” meaning that you’ll need to see your primary care physician for a referral before you can see a specialist.

Health Care Financ Rev. Fall; 12 (1): 71– This article has been cited by other articles in PMC. During the past decade, the number of and enrollment in health maintenance organizations (HMOs) have grown dramatically. InHMOs served 9 million members. Bythere were HMOs with over 34 million by: HEALTH MAINTENANCE Health maintenance is a guiding principle in health care that emphasizes health promotion and disease prevention rather than the management of symptoms and illness.

It includes the full array of counseling, screening, and other preventive services designed to minimize the risk of premature sickness and death and to assure optimal physical, mental, and emotional health. health maintenance organization (HMO) any of a variety of health care delivery systems with structures ranging from group practice through independent practice models or independent practice associations (IPAs).

They provide alternatives to the fee-for-service private practice of. Name two types of health maintenance organization (HMO) plans that may have Medicare Part B contracts.

HMO risk plans All patients who have a Medicare health insurance card have Part A hospital and Part B medical coverage. insurance hand book chapter #11 24 Terms. aracelicanela. 13 Insurance Bk 25 Terms. Choice of doctors and hospitals: You must be treated by doctors and hospitals within the plan’s network of contracted providers in its service area, except in an emergency or if you urgently need care.

You usually need a referral from your primary care doctor to see a specialist. (If the plan offers a point of service option, however, you can go out of network for a higher co-pay.). Bookmarks Bookmark your favorite courses and answers for quick reference.

Toolkits Access exclusive toolkits full of useful fliers, infographics, presentations, and. Introduction to Managed Care book.

Read reviews from world’s largest community for readers. Start by marking “Introduction to Managed Care: Health Maintenance Organizations, Preferred Provider Organizations, and Competitive Medical Plans” as Want to Read:4/5(1).

Health Maintenance Organization What It Means. A health maintenance organization, commonly referred to as an HMO, is an organization in the United States that provides a specialized form of health insurance for a prepaid monthly fee.

With a typical health insurance policy, the insurer is required to pay for medical coverage according to the terms set forth in the insurance plan (called a policy). Minnesota lays claim to the idea of prepaid health plans—health services operated and administered by medical doctors and professional staff, and managed by health maintenance organizations (HMOs) —a design formulated in the early s by Dr.

Paul M. Ellwood, then executive director of the American Rehabilitation Foundation and the Sister Kenny Institute of Minneapolis. A health maintenance organization is a type of health insurance plan that provides care to members through a network of doctors and hospitals. With an HMO, you pay in advance for your care through.

Acquisition of Controlling Stock for a Health Maintenance Organization; Acquisition Merger or Consolidation of a Specialty Insurer; Fiscal Intermediary Service Organizations; Health Maintenance Organization; Medicare Plus Choice Provider; Multiple Employer Welfare Arrangements; Prepaid Health Clinic; Prepaid Limited Health Service Organization.

the annual and the quarterly statements and forms. These instructions pertain to health entities such as Health Maintenance Organizations (HMOs), Alternative Financing and Delivery Systems (AFDS), and Dental Service Corporations.

By completing the financial statements and forms in accordance with their instructions. "Ensuring America's Health: The Public Creation of the Corporate Health Care System is an important history of how US health care came to be dominated by the private insurance industry.

Through impressive research and argumentation, Christy Ford Chapin examines how the 'insurance company model' rose to prominence and eventually to actual /5(10).

Changes to NYSHIP General Information Book Keep this Report with your January 1, New York State Health Insurance Program (NYSHIP) General Information Book.

Where this document differs from your Book and later Changes/Clarifications included in NYSHIP Health Maintenance Organizations Reports, this is the controlling document. Graduating.

APPLICATION FOR CERTIFICATE OF AUTHORITY HEALTH MAINTENANCE ORGANIZATION REHABILITATION ADMINISTRATIVE EXPENSE FUND (Pursuant to SectionF.S.) SMALL EMPLOYER CARRIER'S APPLICATION TO BECOME A RISK ASSUMING CARRIER OR A REINSURING CARRIER, AS REQUIRED BY SECTION (9), FLORIDA STATUTES.

Health maintenance organizations, often also referred to as health plans, typically include most of the following: (i) responsibility for the care for a defined population; (ii) information about most diagnoses and procedures resulting from care delivered in both ambulatory and inpatient settings, access to full medical records, and outpatient pharmacy dispensing data; and (iii) the ability to Cited by: A health maintenance organization is defined as “an organization that combines the provision of health insurance and the delivery of health care services.” (Given ) Early HMOs and HMO-like institutions developed in the s.

They may have had some intellectual roots in the workers’ cooperative movement of 19th century England. EarlyFile Size: KB. Keep this Report with your January 1, New York State Health Insurance Program (NYSHIP) General Information Book.

Where this document differs from your Book and later Changes/Clarifications included in NYSHIP Health Maintenance Organizations Reports, this is the controlling document.

2 HMO-CTS 30/31/ 13 Health Care Exhibit’s Allocation Report Supplement 1 EO xxx 4/1 NAIC 14 Investment Risk Interrogatories 1 EO xxx 4/1 NAIC 15 Life Supplemental Data due March 1 1 EO xxx 3/1 NAIC 16 Life Supp Statement non-guaranteed elements – Exh 5, Health Maintenance Organizations.

The Maryland Certificate of Authority for health maintenance organizations, limited health service organizations, and provider sponsor organizations expires annually on November Application for Insurer's Certificate of Authority; The paper application should be mailed with a check for the appropriate fees made payable to the Maryland.

A Health Maintenance Organization, or HMO, provides employers or groups a way to take care of all their employees’ or members health care needs with reduced costs by negotiating with specific doctors, hospitals, and clinics. These specific providers must be used by the employee for the reduced fees to be provided to their medical insurance.