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Health Maintenance Organizations
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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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Sunday, November 22, 2009

African Americans in commercial HMOs more likely to delay prescription drugs and use the emergency room.

29 Sep 2009 Health Maintenance Organizations (HMOs) are designed to provide comprehensive health care, including primary care to their enrollees. However, HMOs deliver care through a wide variety of physician networks, settings and methods throughout the nation ... Read more...


The tools of an evidence-based culture: implementing clinical-practice guidelines in an Israeli HMO.

30 Aug 2009 PURPOSE: Although clinical-practice guidelines (CPGs) are implemented on the assumption that they will improve the quality, efficiency, and consistency of health care, they generally have limited effect in changing physicians' behavior. The purpose ... Read more...


Recruitment to a randomized web-based nutritional intervention trial: characteristics of participants compared to non-participants.

24 Aug 2009 BACKGROUND: Web-based behavioral programs efficiently disseminate health information to a broad population, and online tailoring may increase their effectiveness. While the number of Internet-based behavioral interventions has grown in the last ... 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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