: MeSH: Health Maintenance Organizations

... > Financing, Organized > Insurance > Insurance, Health > Prepaid Health Plans > Health Maintenance Organizations

... > Financing, Organized > Insurance > Insurance, Health > Managed Care Programs > Health Maintenance Organizations

... > Health Services Administration > Patient Care Management > Delivery of Health Care > Managed Care Programs > Health Maintenance Organizations

Health Care Quality, Access, and Evaluation > Delivery of Health Care > Managed Care Programs > Health Maintenance Organizations

... > Health Services Administration > Organization and Administration > Professional Practice > Group Practice > Health Maintenance Organizations

Health Maintenance Organizations

Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)

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