Health Maintenance Organization

Definition 1

A managed care organization that provides health services to enrolled individuals. (NCI Thesaurus)

Definition 2

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) (NLM, Medical Subject Headings)

YOU MAY ALSO LIKE

Health Literacy

Many people have trouble understanding information about their health. About 9 out of 10 American adults have some problems with health…

Health Level Seven

A Standards Developing Organization (SDO) operating in the healthcare arena with an emphasis on the domain of clinical and administrative data. …

Health insurance premium

The amount of money that a patient pays monthly to a health insurance company for healthcare coverage. Coverage may include visits to…

Health Insurance Portability and Accountability Act

A 1996 U.S. law that allows workers and their families to keep their health insurance when they change or lose their…

Health Insurance

Health insurance helps protect you from high medical care costs. It is a contract between you and your insurance company. You buy…

Health Information National Trends Survey

A survey designed to collect nationally representative data routinely about the American public's use of cancer-related information. The survey provides updates on…