Health Maintenance Organizations--1973: Hearings, Ninety-third Congress, First Session, on H.R. 51 and H.R. 4871 ... March 6 and 7, 1973U.S. Government Printing Office, 1973 - 368 pages |
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Common terms and phrases
administration assistance basic health basis bill capitation rate CARLUCCI CARTER Census tract charges COHELAN Commissioner Director committee Congress copayment cost Council coverage delivery demonstration determined doctor of medicine enrollees enrollment facilities Federal Employees fee-for-service fiscal funds 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 IDENTIFIED BY COUNTY inpatient June 30 labor union legislation loan guarantee MCD/CCD medicaid medical service corporation medically underserved areas Medicare medicine mental health mental health services NAIC outpatient patients payments percent person physicians prepaid group practice Professional Standards Review PSRO psychiatric Public Health question regulations responsibility ROGERS SCARCITY AREAS IDENTIFIED Secretary SERVICE SCARCITY AREAS Standards Review Organization subsection Superintendent tion utilization WEESE WOOLLEY XXXX XXXXX
Popular passages
Page 297 - The president shall designate one of the members of the council to serve as chairman.
Page 318 - ... 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 300 - ... (B) Where a provider of services has furnished, at the request of such individual, items or services which are in excess of or more expensive than the items or services with respect to which payment may be made under this...
Page 232 - ... company in and for this state, upon whom all lawful process in any action or proceeding against the company may be served, with the same effect as if the company existed in this state.
Page 346 - 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 345 - Clinical laboratory means any place, establishment or institution organized or operated for the practical application of one or more of the fundamental sciences by the use of specialized apparatus, equipment and methods for the purpose of obtaining information which may be used in the diagnosis, prevention and treatment of disease or impairment or assessment of the health of man.
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 296 - ... with respect to terminations of agreements), and shall remain in effect until the Secretary finds and gives reasonable notice to the public that the basis for such determination has been removed and that there is reasonable assurance that it will not recur.
Page 295 - It shall be the obligation of any health care practitioner and any other person (including a hospital or other health care facility, organization, or agency) who provides health care services for which payment may be made (in whole or in part) under this...