health maintenance organization

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health maintenance organization

noun closed medical organization, closed medical panel, connrolled medical coverage, supervised medical care Generally: group health care coverage, health maintenance coverage
References in periodicals archive ?
He is considered by many to be the best-known HMO lawyer in Texas.
Instead, the HMO set copays and because there wasn't involvement by individuals, it developed an idea of entitlement and no awareness of the actual cost," said Marc Bilodeau, senior vice president with insurance broker Willis Group Holdings Ltd.
All Medigap policies received one or two stars, indicating Medicare HMOs usually provide better value to consumers.
But, in fact, many multispecialty group practices have not been successful -- some have even failed -- attempting to embrace the prepaid HMO model.
The first analysis compares mortality and time until death between TEFRA-risk HMO enrollees and FFS beneficiaries.
But it is not clear whether this lull was the typical temporary lull that follows a merger spree in any industry (oligopolists often keep their prices artificially low during a shake-out in order to seize market share quickly), or if it reflects a long-term reduction in health care inflation caused by the rapid metastasizing of HMO cost-control practices throughout the system.
Dooha insists that alternative legislation sponsored by Republicans won't go far enough to correct the abuses at HMOs.
One HMO official stated: "We wanted to have a well-rounded offering, from a provider and consumer perspective, by covering Medicare and Medicaid as well as commercial.
For most people, this would be a sign that HMOs are responding to customer feedback and the market is working.
157(a)(1), Contributions for the HMO alternative, states as a general principle that:
Another management issue for physician groups is comparing the profitability of HMO plans to not only each other, but also to other types of plans, including fee-for-service plans.