doctor acts as the gatekeeper in a health maintenance organization (hmo).
doctor acts as the gatekeeper in a health maintenance organization (hmo).
who acts as the gatekeeper in a health maintenance organization (hmo)?
doctor
in the united states, a health maintenance organization (hmo) is a medical insurance group that provides health services for a fixed annual fee. 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 care providers (hospitals, doctors, etc.) on a prepaid basis. the health maintenance organization act of 1973 required employers with 25 or more employees to offer federally certified hmo options if the employer offers traditional healthcare options. unlike traditional indemnity insurance, an hmo covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the hmo's guidelines and restrictions in exchange for a steady stream of customers. hmos cover emergency care regardless of the health care provider's contracted status.
health maintenance organization
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. the health maintenance organization act, informally known as the federal hmo act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (hmos). the federal hmo act amended the public health service act, which congress passed in 1944. the principal sponsor of the federal hmo act was sen. edward m. kennedy (ma).









































section::::principles.
health maintenance organization act of 1973