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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.
The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted on December 29, 1973. The Health Maintenance Organization Act, informally known as the federal HMO Act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (HMOs).
Landlords of large HMOs must apply for a licence and must comply with certain standards and obligations. [15] [19] HMOs do not need to be licensed if they are managed or owned by a housing association or co-operative, a council, a further education institute or student housing provider, a health service or a police or fire authority. [19]
This year, open enrollment for public health insurance plans begins Nov. 1, 2024, and closes on Jan. 15, 2025. During the open enrollment period, Americans have the option to enroll, renew, or ...
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...
AOL MyHealthProtected offers savings on health services such as prescriptions, vision, hearing, lab work and diagnostic imaging. It also provides 24-hour access to Telemedicine allowing you to consult a medical provider by phone, app or webcam for only a $45 fee.
License portability refers to the legal concept where states (or other subnational certifying jurisdictions) recognize other jurisdictions licenses. Some states have mutual recognition with other states' certification either by their own state law or through interstate compact , however there are limited national standards in the United States ...
Credentialing is the process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy.. Credentialing is the process of granting a designation, such as a certificate or license, by assessing an individual's knowledge, skill, or performance level.