A health maintenance organization (HMO) is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals and other entities in the United States as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options if the employer offers traditional healthcare options. Unlike traditional indemnity insurance, an HMO covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers. HMOs cover emergency care regardless of the health care provider's contracted status.
Read more about Health Maintenance Organization: Operation, Cost Containment, History, Types of HMOs, Regulation, Legal Responsibilities, Organizations
Famous quotes containing the words health, maintenance and/or organization:
“To safeguard ones health at the cost of too strict a diet is a tiresome illness indeed.”
—François, Duc De La Rochefoucauld (16131680)
“War is in truth a disease in which the juices that serve health and maintenance are used for the sole purpose of nourishing something foreign, something at odds with nature.”
—Johann Wolfgang Von Goethe (17491832)
“The newly-formed clothing unions are ready to welcome her; but woman shrinks back from organization, Heaven knows why! It is perhaps because in organization one find the truest freedom, and woman has been a slave too long to know what freedom means.”
—Katharine Pearson Woods (18531923)