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HMO |
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HMO health maintenance organization.
HMO, abbreviation for health maintenance organization. HMO, n.pr See health maintenance organization. HMO Health maintenance organization Managed care 1. A comprehensive health care system that provides or ensures delivery of basic and supplementary health maintenance and treatment services including inpatient and ambulatory care, in a
defined geographic region to a voluntarily enrolled group of persons for a premium; the HMO requires that its enrollees use the services of designated (participating) physicians, hospitals and other providers of medical care and receive
reimbursement through a predetermined, fixed periodic prepayment by or on behalf of each individual or family unit regardless of the amount of services provided; use of physician outside the HMO nework requires preapproval Pros Reduced out-of-pocket
costs–ie, no or minimal deductible, no paperwork–ie, insurance forms, and a minimal copayment for each office visit to cover the paperwork handled by the HMO HMO healthcare services Hospital, physician, often prescription drug and vision
care, home care, and other services HMO models Staff model, group model, independent practice association, network model. See Gatekeeper 2. An organized group of physicians paid in advance for providing health care services to a voluntary
population of individuals. Cf Group model, HMO network, Independent Practice Association model, Network model, Risk HMO, Staff model. How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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In today's market, however, an HMO might benefit by adopting some of the features of a health insurer's excess medical reinsurance contract and adapting these to its managed care needs. Clyde Oden, former president and CEO of Watts Health Foundation, a 117,000-member urban-based HMO in Los Angeles. I decided HMO litigation was a niche I wanted to work on more, to learn more about, and to become more active in. |
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