federally qualified HMO

federally qualified HMO,

a health maintenance organization that is qualified to receive federal funding as defined under U.S. regulations.
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He spent a great deal of his time developing the financial and clinical facets of the HMO field and ultimately became the president of a federally qualified HMO in Northern California.
A community-rated figure for a federally qualified HMO in Missouri as of March of this year is $147.
In addition, States that allow Medicaid recipients to choose a federally qualified HMO can elect to require recipients to remain in an HMO for 5 months following an initial 1-month trial period.
Federally qualified HMO,s, which account for a large majority of HMO participants in both sectors, must provide certain health services that may not be included in traditional fee-forservice plans.
Secure Horizons, a popular Medicare risk product offered by PacifiCare of Texas, a federally qualified HMO, has sponsored the "Jingle Bell Ball" and its charitable holiday toy collection since 1987 in San Antonio.
The HMO Act of 1973 (Public LAw 93-222) offered financial support for the development of new HMOs and required employers who offered traditional health insurance plans to also offer an HMO alternative if a federally qualified HMO was available in the area.
He was responsible for the medical operations of an Independent Practice Association (IPA) model of 100,000 lives for the federally qualified HMO in Flint, Mich.
is a federally qualified HMO serving close to 200,000 members in South and Central Florida.
C A C-Ramsay Health Plans is a federally qualified HMO serving more than 192,000 members in South and Central Florida.
Kaiser Permanente is a federally qualified HMO with over 6.
Second, we assume that the products are distinguishable from one another by the fact that coverage under the traditional Medicare program and, therefore, HMO Medicare products, is typically broader than that required for private products produced by federally qualified HMOs (Zarabozo and LeMasurier [1996]).
Federally qualified HMOs are allowed to limit benefits under the HMO Act of 1973.
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