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 ?
In the 1980s, HMOs gained attention when Congress attached an HMO provision under the Employee Retirement Income Security Act.
Nearly 30 percent of Medicare HMOs in California got four or five stars, compared to 11 percent last year.
I fully expected the HMO policies to favor the superior control of resources and the quality inherent to excellent multispecialty group practices.
Believe it or not, Bill Clinton and leaders of both political parties propose to aggravate the conditions that have provoked the assault on patient privacy--the proliferation of huge computer systems loaded with patient data, and the HMO habit of reading patient files.
Angered by the problem and the perception that HMOs are not moving quickly to correct it, AIDS activists have joined the bandwagon to reform managed care organizations.
Compared with HMO plans nationally (InterStudy, 1996), the HMOs in the risk sample are older, have larger total enrollment, are less likely to have for-profit tax status, and are more likely to be mixed-model HMOs.
Even one of Washington's top HMObashers noted the trend, although he did so in support of his bill that would saddle HMOs with more regulations.
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.
Oden, president and CEO of the Watts Health Foundation (WHF), a non-profit minority-controlled HMO headquartered in Inglewood, Calif.
Of the four major HMO model types, IPAs, which use independent physicians practicing alone or in groups to care for enrollees, have become more and more dominant.
The integrated IT systems enables HMO management to analyze disease incidence, morbidity and other factors that help identify medical outcomes and trends, staff productivity and patient compliance.
RELATED ARTICLE: Key events leading to court's HMO ruling.