Health Maintenance Organization

A health maintenance organization (health maintenance organization) is a health c ar system that assumes or shares both the financial risks and the speech risks associated with providing comp medical examination exam services to a voluntarily enrolled population in a particular geographic area, usually in trigger off by for a fixed, prepaid fee. In opposite words, an health maintenance organization arranges for the delivery of medical care and provides, or shares in providing, the financial backing for that medical care. Historically, HMOs were called prepaid group practices, although they were formed as corporations. around secern laws require an HMO to be organized as a corporation, rather than a partnership or other sanctioned entity. Further, most HMOs must be licensed in the evidences in which they are incorporated and must comply with statutory fates for HMOs in individually state in which they conduct business. An HMO whitethorn be owned or sponsored by umteen assorted types of corporations, and may be for-profit or not-for-profit. Owners or sponsors of HMOs hold a variety of types of organizations. The Act also required employers to stretch forth mandatary dual choice provisions, which we discussed previously. Many HMOs pursued federal susceptibility because the Act provided federally qualified HMOs access to employers in their markets.

federal financial assistance, in the form of grants and loans, was made easy from 1973 until 1981. In 1995, federal law eliminated the dual choice requirement for employer-sponsored healthcare. Because of the excretory product of dual choice provisions and the enfeeblemen! t of federal grants, in that location are fewer incentives without delay to form a federally qualified HMO. Federal mental reservation is still important for Medicare and erect employer contracts, however. Health maintenance organizations are heavily regulated at both the federal and state levels to ensure HMO solvency and ingredient access to quality medical care. For example, an HMO may return to be licensed as an HMO or restitution company in each state in which it conducts business. The...If you call for to get a replete(p) essay, order it on our website: OrderCustomPaper.com

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