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Managed Care |
Health Maintenance Organizations; HMO |
"HMO" redirects here. For other uses, see HMO (disambiguation). A Health Maintenance Organization (HMO) is a type of Managed Care Organization (MCO) that provides a form of health insurance coverage in the United States that is fulfilled through hospitals, doctors, and other providers with which the HMO has a contract. Unlike traditional indemnity insurance, care provided in an HMO generally follows a set of care guidelines provided through the HMO's network of providers. Under this model, ...
Wikipedia - [full article]
Resources
- AHRQ Research About Managed Care (Agency for Healthcare Research and Quality Clearinghouse, AHRQ, OPHS, HHS)
- Bureau of Primary Health Care: Publications List (Health Resources Services Administration Information Center)
- Centers for Medicare & Medicaid Services
- Consumer Assessment of Health Plans (Agency for Healthcare Research and Quality Clearinghouse, AHRQ, OPHS, HHS)
- Consumer Guide to Handling Disputes with Your Employer or Private Health Plan, 2003 Update (Henry J. Kaiser Family Foundation)
- Cultural Competence Standards In Managed Care Mental Health (National Mental Health Information Center, SAMHSA, HHS)
- Families USA
- Getting the Best Out of Managed Care (National Health Law Program) - Links to PDF File
- Getting the Best Out of Managed Care: Consumer Surveys (National Health Law Program) - Links to PDF File
- Getting the Best Out of Managed Care: Report Cards (National Health Law Program) - Links to PDF File
- Getting the Best Out of Managed Care: Understanding Quality Measures (National Health Law Program) - Links to PDF File
- Guia Para Planes de Salud: Como Obtener el Mayor Beneficio de Su Plan (CDC National Prevention Information Network)
- Guide to Managed Care (Health Insurance Association of America)
- Health Insurance: Understanding Your Health Plan's Rules (American Academy of Family Physicians)
- How to Use Your Managed Care Plan Effectively: Questions and Answers for Families with Children (American Academy of Pediatrics)
- It's Your Choice - Are Medicare HMOs Right for You? (Consumer Action)
- It's Your Health - How to Get the Most Out of Your HMO (Consumer Action)
- Managed Care (Medline Plus)
- Managed Care (American College of Emergency Physicians)
- Managed Care (National Women's Health Information Center)
- Managed Care Activities: Center for Mental Health Services, SAMHSA. 1996 (National Mental Health Information Center, SAMHSA, HHS)
- Managed Care Best Practices Toward Improving Birth Outcomes Toolkit (Center for Health Care Strategies, Inc.)
- Managed Care Terminology (Dept. of Health and Human Services)
- Mastering the Maze: Taking Control of Your Health Care (College of American Pathologists)
- Maternal and Child Health Bureau Managed Care Resources (Health Resources Services Administration Information Center)
- Medicare - What is Medicare? (Center for Medicare and Medicaid Services (CMS) Publications Office)
- Medicare and You 2004 (Centers for Medicare & Medicaid Services) - Links to PDF File - Large file (Center for Medicare and Medicaid Services, HHS)
- Parity in Financing Mental Health Services: Managed Care Effects on Cost, Access & Quality (National Institute of Mental Health Information Center)
- Principles For Systems of Managed Care. (National Mental Health Information Center, SAMHSA, HHS)
- Research in Action: Strengthening Managed Care (Agency for Healthcare Research and Quality Clearinghouse, AHRQ, OPHS, HHS)
- Speaking With a Common Language: Past, Present, and Future Data Standards for Managed Behavioral Healthcare (National Mental Health Information Center, SAMHSA, HHS)
- Your Guide to Managed Care (American Academy of Orthopaedic Surgeons)
- Your Passport to Managed Care: A Tool for Making Managed Care Work for You (CDC National Prevention Information Network)
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