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:
“I would hope that parents and grown children could be friends. When a friend confides in you that she’s going to do something that you think is most inappropriate, foolhardy or even dangerous, wouldn’t you as a friend say so—in a calm, supportive way? Yet I have to be so careful what I say to my children. I have to walk on eggs to be sure I’m not hurting their feelings or interfering with their lives.”
—Anonymous Parent of Adult Children. Ourselves and Our Children, by Boston Women’s Health Book Collective, ch. 5 (1978)
“It is an injustice that an old, broken, half-dead father should enjoy alone, in a corner of his hearth, possessions that would suffice for the advancement and maintenance of many children.”
—Michel de Montaigne (1533–1592)
“In any great organization it is far, far safer to be wrong with the majority than to be right alone.”
—John Kenneth Galbraith (b. 1908)