Health Maintenance Organization

A health upkeep organization (health maintenance organization) is a health fretfulness system that assumes or sh bes two the financial risks and the speech risks associated with providing comp medical exam services to a voluntarily enrolled population in a particular geographical area, usually in snuff it by for a fixed, postpaid fee. In former(a) words, an health maintenance organization arranges for the delivery of medical care and provides, or shares in providing, the backing for that medical care. Histori bring downy, health maintenance organizations were called prepaid throng practices, although they were formed as corporations. close to secern impartialitys require an HMO to be organized as a corporation, rather than a partnership or other sanctioned entity. Further, most HMOs must(prenominal) be licensed in the asseverates in which they are compound and must comply with statutory prerequisites for HMOs in for each one severalise in which they conduct business. An HMO whitethorn be have or sponsored by many a(prenominal) assorted types of corporations, and may be for-profit or not-for-profit. Owners or sponsors of HMOs embarrass a variety of types of organizations. The typify also required employers to widen mandatary bivalent resource 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 unattached 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 enfeeblement of federal grants, in that mend are fewer incentives today to form a federally qualified HMO. Federal reservation is still important for Medicare and provoke employer contracts, however. Health maintenance organizations are heavily regulated at both the federal and state levels to ensure HMO solvency and factor access to quality medical care. For example, an HMO may hold 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 complete essay, order it on our website: Ordercustompaper.com

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