Accenture, a consultancy that pioneered the business of selling technology services to government, has been publishing reports on the subject since 2000. The titles give a flavour of the industry's struggle to balance promise and performance.hame is a powerful deterrent and often overcomes greed, especially when you have children and friends who read newspapers.â. So far, though, the story of e-government has been one of quantity, not quality.
Regulatory practices vary from state to state. For instance, in California health insurers are regulated by the Department of Insurance and HMO's and health service plans are regulated by the Department of Corporations.
A health maintenance organization (HMO) is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities in the United States and acts as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.n 1970, the number of HMOs declined to fewer than 40. Paul M. Ellwood, Jr. , often called the father of the HMO, began having discussions with what is today the U.S. Department of Health and Human Services that led to the enactment of the Health Maintenance Organization Act of 1973.