A good candidate for scrutiny by every member of the San Fernando Valley area legislative delegation is a state rule that individuals must live within 10 miles of an affiliated hospital if they are to be members of a county health maintenance organization.
Advocates for children, the elderly and the disabled worry that states will cut services, reduce coverage of fast-growing benefits like prescription drugs or use cheap, low-quality nursing homes and health maintenance organizations.
These products include health insurance, health benefits administration and indemnity insurance products such as Medicare Supplement products offered through health maintenance organizations, or HMOs, and preferred provider organizations, or PPOs.
The American Association of Health Plans, the leading trade group for health maintenance organizations and other managed care plans, said its members ``do not and should not require outpatient care for removal of a breast.
The doctors group voted to push for legislation requiring doctors, if their speech to patients is curtailed by clauses in their agreements with health maintenance organizations, to tell patients that such clauses exist.
s (Health Net) (NYSE:HNT) (Woodland Hills, CA) life/health and health maintenance organizations (HMO) subsidiaries and Health Net's debt rating remain under review with negative implications, subsequent to the $117 million verdict in a lawsuit against Health Net, which arose from the 1999 sale of one health plan subsidiary in Texas.
While some analysts expect the health maintenance organizations to improve later in the year, as they did last year after a weak first half, others say they are in a down cycle that may continue into 1997.
NMHC) operates NMHC Rx (pharmacy benefits manager or PBM), Integrail (health information solutions), NMHC Mail (home delivery pharmacy), and Ascend (specialty pharmacy solutions), providing services to corporations, unions, health maintenance organizations, third-party administrators, and local governments.