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Health maintenance organizations types

Health maintenance organizations are the most restrictive type of managed care organization, and consumer dissatisfaction with restricted choice in HMOs likely was a significant factor in the growth of point of service (POS) plans. POS plans sometimes are referred to as open-ended HMOs. Like HMOs, enrollees typically select a primary care provider and pay no fee or a small copayment to see participating providers. POS plans differ from HMOs in that patients can receive coverage from physicians outside the network. However, patients pay more for care received from physicians outside the network and often must pay the full... [Pg.797]

Selby JV, Ettinger B, Swain BE, Brown JB. First 20 months experience with use of metformin for type 2 diabetes in a large health maintenance organization. Diabetes Care 1999 22(l) 38-44. [Pg.380]

Figure 55.1 1997 Health maintenance organization (HMO) enrollment by model type. [Adapted from Hoechst Marion Roussel, 1998.]... Figure 55.1 1997 Health maintenance organization (HMO) enrollment by model type. [Adapted from Hoechst Marion Roussel, 1998.]...
Health Industry Manufacturer s Association (devices) Health Insurance Portability and Accountability Act Indian Health Service Human immunodeficiency vims HIV-positive HIV-infected Human immunodeficiency vims type 1 Health Maintenance Organization... [Pg.533]

A health maintenance organization (HMO) is a type of MCO that offers comprehensive healthcare to voluntarily enrolled members, who pre-pay a fixed amount of money in exchange for access to a clearly defined package of health plan benefits. Generally, HMOs receive a fixed fee from members, regardless of whether healthcare services are utilized or not, i.e. they are prepaid on a capitated basis. A primary distinguishing characteristic of HMOs is that, upon enrollment, members are required to select a primary care physician (PCP), who not only delivers comprehensive care, but also serves as the gatekeeper to specialty services, such... [Pg.514]

World Health Organization (WHO). A branch of the United Nations concerned with international health problems. Its interests are in the maintenance of nutrition, wholesomeness of foods, and consumer health, zeolite. Family of hydrated silicates which occur as porous mineral crystals used for their absorptive properties, as catalysts, separating agents, sequestrants in washing powders, etc. zeotrope. A solvent mixture whose vapor composition is different from its liquid composition regeneration by distillation is therefore difficult and its use for vapor degreasing may be limited. Ziegler. A type of polymerization catalyst, named after its inventor. [Pg.7188]


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