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Health Maintenance Organizations - Economics
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Definition of 'Health Maintenance Organizations'

Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)

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Monday, November 23, 2009

High-deductible health plans: are vulnerable families enrolled?

30 Mar 2009 OBJECTIVE: There is concern that high-deductible health plans may have negative effects on vulnerable groups. The objective of this study was to compare the characteristics of families who have children and switch to high-deductible health plans ... Read more...


Relationships among depression, chronic pain, chronic disabling pain, and medical costs.

27 Feb 2009 OBJECTIVE: Although evidence suggests that patients with depression use more medical services than those without depression, few studies have examined whether specific subgroups of patients with depression have higher utilization than others. The ... Read more...


Long-term results of a smoking reduction program.

30 Dec 2008 INTRODUCTION: There have been few comprehensive evaluations of smoking reduction, especially in health care delivery systems, and little is known about its cost, maintenance of reduced smoking, or robustness across patient subgroups. METHODS: A ... Read more...

 

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Technical information about 'Health Maintenance Organizations'

Definition: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)

Descriptor UI: D006279

Alternative terms: Health Maintenance Organizations; Prepaid Group Health Organizations; HMO; Organizations, Health Maintenance; Group Health Organizations, Prepaid; Health Maintenance Organization; Organization, Health Maintenance;

Allowable Qualifiers: classification; economics; history; legislation & jurisprudence; manpower; organization & administration; standards; trends; utilization; statistics & numerical data; ethics;

Tree Number: N03.219.521.576.343.800.400; N03.219.521.576.343.925.400; N04.452.758.244.425; N04.590.374.410.400;

History Note: 74(71)

Technical Notes: DF: note short X ref

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