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v. t. e. 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 ...
Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
The terms "open panel" and "closed panel" are sometimes used to describe which health care providers in a community have the opportunity to participate in a plan. In a "closed panel" HMO, the network providers are either HMO employees (staff model) or members of large group practices with which the HMO has a contract.
A last-minute-agreement has thwarted a lapse for in-network coverage by the national insurer, Aetna, for Washington patients who rely on Providence for their health care. An estimated 35,000 ...
Health Maintenance Organization (HMO) is a term first conceived of by Dr. Paul M. Ellwood, Jr. [4] The concept for the HMO Act began with discussions Ellwood and his Interstudy group members had with Nixon administration advisors [5] who were looking for a way to curb medical inflation. [6] Ellwood's work led to the eventual HMO Act of 1973.
March 6, 2024 at 3:57 PM. One of San Luis Obispo County’s largest healthcare providers could soon no longer be a part of Aetna’s network — a move that would leave residents throughout the ...
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