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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).
Feb. 2—The open enrollment period to receive health care coverage in 2024 ended, with 145,509 Oregonians enrolling in health insurance coverage, a 2.4 percent increase over last year's numbers ...
The Healthcare Effectiveness Data and Information Set ( HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
The National Committee for Quality Assurance ( NCQA) is an independent 501 (c) (3) nonprofit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. The National Committee for Quality Assurance operates on a formula of measure ...
Enrollment for health plans through the Affordable Care Act, or Obamacare, insurance marketplaces reached a record high during this year's open enrollment period, a feat applauded by President Joe ...
Apr. 2—Open enrollment has started for New Mexico's revamped Medicaid program. The state's bulked-up "Turquoise Care" program, a reimagined program that includes food and housing initiatives as ...
Credentialing is the process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy. Credentialing is the process of granting a designation, such as a certificate or license, by assessing an individual's knowledge, skill, or performance level. In healthcare industry, credentialing is ...
Health care quality is a level of value provided by any health care resource, as determined by some measurement. [1] As with quality in other fields, it is an assessment of whether something is good enough and whether it is suitable for its purpose. The goal of health care is to provide medical resources of high quality to all who need them ...
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