Αποτελέσματα Αναζήτησης
With an eye toward improving access and health care delivery systems throughout Texas, the 2023-2028 Texas State Health Plan provides guidance on how to achieve a high-quality, efficient health system that serves the needs of all Texans.
18 Ιουλ 2023 · A health maintenance organization (HMO) is a type of health plan that provides care to members through a network of doctors, hospitals, and other providers. The providers in an HMO’s network have agreed to treat HMO members at a discounted rate.
HMO - Means Health Maintenance Organization which is any person or entity who arranges for or provides a health care plan or a single health care service plan to enrollees on a prepaid basis.
Consumer Choice Plan - Health care plan offered by insurance company or HMO that does not include all of the state-mandated benefits. Consumer choice plans must provide members with a disclosure statement and a list describing the mandated benefits that are not covered.
Access reports from the Texas Health Care Information Collection on Health Maintenance Organizations (HMOs) in the state of Texas.
18 Νοε 2022 · What is an HMO Certificate of Authority and how do I become an HMO? What laws apply to an HMO in Texas? Are there any required provisions for an HMO-provider contract in Texas? Does the State of Texas regulate the fees that a Texas-licensed HMO pays to the physicians and providers in the HMO's delivery network?
Provide medically necessary health care in the most appropriate, accessible, and cost-effective setting to adults who are principally income-level eligible (non- pregnant, non-Medicare, non-disability-related).