Health Maintenance Organizations--1973, Hearings Before the Subcommittee on Public Health and Emviornment ..., 93-1, March 6, and 7, 19731973 - 368 pages |
Common terms and phrases
administration appropriate assistance basis benefit package bill capitation rate CARLUCCI CARTER Census tract charges COHELAN Commissioner Director committee copayment cost Council coverage delivery demonstration determined doctor of medicine enrollees enrollment facilities Federal Employees fee-for-service funds grant or contract Group Health Group Health Cooperative health care plan health care services health insurance health maintenance organization Health Plan HEALTH SERVICE SCARCITY HEINZ HMO's hospital inpatient June 30 Kaiser labor union laboratory legislation loan guarantee MCD/CCD medicaid medical service corporation medically underserved areas Medicare medicine ment mental health mental health services NAIC option osteopathy outpatient patients payments percent person physicians prepaid group practice Professional Standards Review PSRO psychiatric Public Health question regulations ROGERS SCARCITY AREAS IDENTIFIED Secretary SERVICE SCARCITY AREAS Standards Review Organization subsection Superintendent tion utilization WOOLLEY XXXXX
Popular passages
Page 302 - Code), including travel time; and while so serving away from their homes or regular places of business, they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 5703 of title 5, United States Code...
Page 51 - Treasury a loan guarantee and interest subsidy fund (hereinafter in this subsection referred to as the ''fund") which shall be available to the Secretary without fiscal year limitation, in such amounts as may be specified from time...
Page 322 - ... group is reimbursed for its services primarily on the basis of an aggregate fixed sum or on a per capita basis, regardless of whether the individual physician members of any such group are paid on a fee-for-service or other basis.
Page 284 - Act for the purpose of determining whether — "(A) such services and items are or were medically necessary; "(B) the quality of such services meets professionally recognized standards of health care; and "(C) in case such services and items are proposed to be provided in a hospital or other health care facility on an inpatient basis...
Page 350 - As used in this section — (1) the term "laboratory" or "clinical laboratory" means a facility for the biological, microbiological, serological, chemical, immuno-hematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body, for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, man; (2) the term "interstate commerce...
Page 62 - ... (1) any member appointed to fill a vacancy occurring prior to the expiration of the term for which his predecessor was appointed, shall be appointed for the remainder of such term; and (2) the terms of office of the members first taking office after the date of the enactment of this Act...
Page 305 - Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during the last preceding calendar year elapsing prior to the start of the...
Page 299 - ... furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under this...
Page 61 - No employer shall be required to pay more for health benefits as a result of the application of this section than would otherwise be required by any prevailing collective bargaining agreement or other legally enforceable contract for the provision of health benefits between the employer and its employees.
Page 305 - ... (4) If a provider of services furnishes items or services to an individual which are in excess of or more expensive than the items or services determined to be necessary in the efficient...