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Health maintenance organization

Index Health maintenance organization

In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1]

61 relations: Asthma, AT&T, Blue Cross Blue Shield Association, Business, Cancer, Capitation (healthcare), Case management (US health system), Cigna, Copayment, Diabetes mellitus, Disease management (health), Edgar Kaiser Sr., Elk City, Oklahoma, Elliot Richardson, Employee Retirement Income Security Act of 1974, Exclusive provider organization, Family medicine, Fee-for-service, Gatekeeper, General practitioner, Geriatrics, Gordon K. MacLeod, Great Depression, Group medical practice in the United States, Health insurance, Health Maintenance Organization Act of 1973, Health professional, Immunization, Indemnity, Independent practice association, Insurance Company of North America, Internal medicine, Kaiser Permanente, Los Angeles, Los Angeles County, California, Los Angeles Department of Water and Power, Los Angeles Fire Department, Los Angeles Police Department, Mammography, Managed care, Michael Shadid, National Association of Insurance Commissioners, Negligence, Overhead (business), Patient, Paul F. O'Rourke, Paul M. Ellwood Jr., Pediatrics, Plastic surgery, Point of service plan, ..., Preferred provider organization, Preventive healthcare, Primary care physician, Publicly funded health care, Richard Nixon, Ross-Loos Medical Group, Self-funded health care, Sicko, Single-payer healthcare, Tacoma, Washington, United States Department of Health and Human Services. Expand index (11 more) »

Asthma

Asthma is a common long-term inflammatory disease of the airways of the lungs.

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AT&T

AT&T Inc. is an American multinational conglomerate holding company headquartered at Whitacre Tower in Downtown Dallas, Texas.

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Blue Cross Blue Shield Association

Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance organizations and companies, providing health insurance in the United States to more than 106 million people.

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Business

Business is the activity of making one's living or making money by producing or buying and selling products (goods and services).

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Cancer

Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body.

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Capitation (healthcare)

Capitation is a payment arrangement for health care service providers such as physicians or nurse practitioners.

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Case management (US health system)

Case management is a managed care technique within the health care coverage system of the United States.

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Cigna

Cigna is an American worldwide health services organization based in suburban Bloomfield, Connecticut and Philadelphia, Pennsylvania.

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Copayment

A copayment or copay is a fixed amount for a covered service, paid by a patient to the insurance company before patient receives service from physician.

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Diabetes mellitus

Diabetes mellitus (DM), commonly referred to as diabetes, is a group of metabolic disorders in which there are high blood sugar levels over a prolonged period.

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Disease management (health)

Disease management is defined as "a system of coordinated healthcare interventions and communications for populations with conditions in which patient self-care efforts are significant."Congressional Budget Office.

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Edgar Kaiser Sr.

Edgar Fosburgh Kaiser Sr. (July 29, 1908 – December 7, 1981) was an American industrialist, who was Chairman of Kaiser Aluminum and Chemical Corporation, the Kaiser Cement Corporation and the Kaiser Steel Corporation.

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Elk City, Oklahoma

Elk City is a city in Beckham County, Oklahoma, United States.

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Elliot Richardson

Elliot Lee Richardson (July 20, 1920 December 31, 1999) was an American lawyer and politician who was a member of the cabinet of Presidents Richard Nixon and Gerald Ford.

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Employee Retirement Income Security Act of 1974

The Employee Retirement Income Security Act of 1974 (ERISA) (codified in part at) is a federal United States tax and labor law that establishes minimum standards for pension plans in private industry.

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Exclusive provider organization

In the United States, an exclusive provider organization is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network.

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Family medicine

Family medicine (FM), formerly family practice (FP), is a medical specialty devoted to comprehensive health care for people of all ages; the specialist is named a family physician or family doctor.

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Fee-for-service

Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately.

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Gatekeeper

A gatekeeper is a person who controls access to something, for example via a city gate.

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General practitioner

In the medical profession, a general practitioner (GP) is a medical doctor who treats acute and chronic illnesses and provides preventive care and health education to patients.

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Geriatrics

Geriatrics, or geriatric medicine, is a specialty that focuses on health care of elderly people.

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Gordon K. MacLeod

Gordon Kenneth MacLeod, MD (1929–2007) was a physician and professor of health services administration at the University of Pittsburgh Graduate School of Public Health, who also served as the state of Pennsylvania's secretary of health (1979–1980).

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Great Depression

The Great Depression was a severe worldwide economic depression that took place mostly during the 1930s, beginning in the United States.

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Group medical practice in the United States

Group medical practices practice medicine by physicians, who share resources.

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Health insurance

Health insurance is insurance that covers the whole or a part of the risk of a person incurring medical expenses, spreading the risk over a large number of persons.

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Health Maintenance Organization Act of 1973

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.

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Health professional

A health professional, health practitioner or healthcare provider (sometimes simply "provider") is an individual who provides preventive, curative, promotional or rehabilitative health care services in a systematic way to people, families or communities.

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Immunization

Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an agent (known as the immunogen).

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Indemnity

Indemnity is a contractual obligation of one party (indemnitor) to compensate the loss occurred to the other party (indemnitee) due to the act of the indemnitor or any other party.

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Independent practice association

An independent practice association (or IPA) is a US term for an association of independent physicians, or other organization that contracts with independent physicians, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis.

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Insurance Company of North America

Insurance Company of North America (INA) is the oldest stock insurance company in the United States, founded in Philadelphia in 1792.

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Internal medicine

Internal medicine or general medicine (in Commonwealth nations) is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases.

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Kaiser Permanente

Kaiser Permanente (KP) is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield.

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Los Angeles

Los Angeles (Spanish for "The Angels";; officially: the City of Los Angeles; colloquially: by its initials L.A.) is the second-most populous city in the United States, after New York City.

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Los Angeles County, California

Los Angeles County, officially the County of Los Angeles, is the most populous county in the United States, with more than 10 million inhabitants as of 2017.

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Los Angeles Department of Water and Power

The Los Angeles Department of Water and Power (LADWP) is the largest municipal utility in the United States, serving over four million residents.

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Los Angeles Fire Department

The Los Angeles Fire Department (LAFD) provides fire fighting, fire suppression, emergency medical services, technical rescue, hazardous materials mitigation, and fire prevention for the city of Los Angeles, California, United States.

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Los Angeles Police Department

The Los Angeles Police Department (LAPD), officially the City of Los Angeles Police Department, is the police department of Los Angeles.

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Mammography

Mammography (also called mastography) is the process of using low-energy X-rays (usually around 30 kVp) to examine the human breast for diagnosis and screening.

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Managed care

The term "managed care" or "managed healthcare" is used in the United States to describe a group of activities ostensibly intended to reduce the cost of providing for profit health care while improving the quality of that care ("managed care techniques").

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Michael Shadid

Dr.

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National Association of Insurance Commissioners

The National Association of Insurance Commissioners (NAIC) is the U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories.

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Negligence

Negligence (Lat. negligentia) is a failure to exercise appropriate and or ethical ruled care expected to be exercised amongst specified circumstances.

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Overhead (business)

In business, overhead or overhead expense refers to an ongoing expense of operating a business.

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Patient

A patient is any recipient of health care services.

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Paul F. O'Rourke

Paul F. O'Rourke (August 31, 1924 –  January 28, 2012) was a founding member of Operation USA and its first board chair, the first Director of the California State Office of Economic Opportunity, a public health advisor to Senator Robert Kennedy and numerous state and federal agencies, and a Board Chairman of the San Francisco Trauma Foundation.

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Paul M. Ellwood Jr.

Paul M. Ellwood Jr. (born 16 July 1926) is a prominent figure in American health care.

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Pediatrics

Pediatrics (also spelled paediatrics or pædiatrics) is the branch of medicine that involves the medical care of infants, children, and adolescents.

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Plastic surgery

Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body.

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Point of service plan

A point of service plan, is a type of managed care health insurance plan in the United States.

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Preferred provider organization

In health insurance in the United States, a preferred provider organization (or 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 reduced rates to the insurer's or administrator's clients.

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Preventive healthcare

Preventive healthcare (alternately preventive medicine, preventative healthcare/medicine, or prophylaxis) consists of measures taken for disease prevention, as opposed to disease treatment.

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Primary care physician

A primary care physician is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis.

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Publicly funded health care

Publicly funded healthcare is a form of health care financing designed to meet the cost of all or most healthcare needs from a publicly managed fund.

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Richard Nixon

Richard Milhous Nixon (January 9, 1913 – April 22, 1994) was an American politician who served as the 37th President of the United States, serving from 1969 until 1974, when he resigned from office, the only U.S. president to do so.

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Ross-Loos Medical Group

Ross-Loos Medical Group was a comprehensive prepaid health services plan with 29 medical offices throughout Los Angeles, Orange, Riverside and San Bernardino Counties in California and a large multi-specialty hospital located on Temple Street (Los Angeles).

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Self-funded health care

Self-funded health care, also known as Administrative Services Only (ASO), is a self insurance arrangement whereby an employer provides health or disability benefits to employees using the company's own funds.

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Sicko

Sicko is a 2007 American documentary film made by filmmaker Michael Moore.

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Single-payer healthcare

Single-payer healthcare is a healthcare system financed by taxes that covers the costs of essential healthcare for all residents, with costs covered by a single public system (hence 'single-payer').

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Tacoma, Washington

Tacoma is a mid-sized urban port city and the county seat of Pierce County, Washington, United States.

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United States Department of Health and Human Services

The United States Department of Health and Human Services (HHS), also known as the Health Department, is a cabinet-level department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services.

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References

[1] https://en.wikipedia.org/wiki/Health_maintenance_organization

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