By the early s, Washington and Oregon hosted dozens of clinics that offered prepaid medical care, often to employees of specific firms through the employers.
The research will rely on the assumption that there is not one single best approach to the management of organizations the contingency theory.
As organizational effectiveness is dependent on an appropriate mix of factors, organizations may be equally effective based on differing combinations of factors.
The external context of the organization is expected to influence internal organizational strategy and structure and in turn the internal measures affect performance discriminant theory.
The research considers the relationship of external context and organization performance. With the current Federal resurgence of interest in the Health Maintenance Organization HMO as a major component in the health care system, attention must be directed at maximizing development of HMOs from the limited resources available.
Increased skills are needed in both Federal and private evaluation of HMO feasibility in order to prevent resource investment and in projects that will fail while concurrently identifying potentially successful projects that will not be considered using current standards. Through intercorrelation and principle components data reduction techniques this was reduced to 12 variables.
Two measures of HMO performance were identified, they are 1 HMO status operational or defunctand 2 a principle components factor score considering eight measures of performance. The relationship between HMO context and performance was analysed using correlation and stepwise multiple regression methods.
In each case it has been concluded that the external contextual variables are not predictive of success or failure of study Health Maintenance Organizations. This suggests that performance of an HMO may rely on internal organizational factors.
These findings have policy implications as contextual measures are used as a major determinant in HMO feasibility analysis, and as a factor in the allocation of limited Federal funds. Add a review and share your thoughts with other readers.Health Maintenance Organization (HMO): A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO.
It generally won't cover out-of-network care except in an emergency. Oct 24, · The administration and organization of health care systems, hospital networks, and other health care settings can greatly affect health outcomes, quality of care, and patient satisfaction.
RAND researchers have examined care coordination and integration, the organization and administration of military health care, and how new models of payment and care delivery under health care . Health maintenance organizations, or HMOs, are a type of health insurance plan.
If your coverage is an HMO, you’ll need to pick a primary care physician (or your insurer will pick one for you), and that person will serve as a “gatekeeper,” meaning that you’ll need to see your primary care physician for a referral before you can see a specialist.
A health maintenance organization (HMO) is a type of health insurance 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. Health Maintenance Organizations The Company Licensing and Registration office is responsible for licensing and related activities of Health Maintenance Organizations.
HMO applications are reviewed pursuant to Chapter of the Texas Insurance Code and Title 28, Part 1, Chapter 11 of the Texas Administrative Code. Health Maintenance Organization (HMO): A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO.
It generally won't cover out-of-network care except in an emergency.