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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).
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance , self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care ...
The Health Maintenance Organization Act of 1973 encouraged the development of managed care, while advances in medical technology revolutionized treatment. In the 21st century, the Affordable Care Act (ACA) was passed in 2010, extending healthcare coverage to millions of uninsured Americans and implementing reforms aimed at improving quality and ...
The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations. [1] The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they ...
The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options. [112] Unlike traditional indemnity insurance, an HMO covers only care rendered by those doctors and other professionals who have agreed to treat patients in accordance with the HMO's guidelines and restrictions ...
For emergency care, make sure a bill complies with the No Surprises Act. That law requires that patients receive in-network coverage with no additional billing for most emergency care.
West Virginia health care advocates spoke out against proposed cuts to the federal Medicaid program during a virtual press conference on Friday, Jan. 24, 2025.
Here we go again. Some lawmakers in Washington state will just not give up on their quest for a state-run single-payer health care system. Their latest attempt is Senate Bill 5233, “Developing ...