health maintenance organization
Defined in 2 dictionaries — Case Law, U.S. Code
Definitions from Case Law
United States Supreme Court
a prepaid organized delivery system where the organization and the primary care physicians assume some financial risk for the care provided to its enrolled members.
Defined by the Supreme Court in Rush Prudential Hmo Inc v. Moran et al., 536 U.S. 355 (2002).
United States Code
26 U.S.C. § 9805 — for purposes of this chapter
The term “health maintenance organization” means—
(A) a federally qualified health maintenance organization (as defined in section 1301(a) of the Public Health Service Act (42 U.S.C. 300e(a))),
(B) an organization recognized under State law as a health maintenance organization, or
(C) a similar organization regulated under State law for solvency in the same manner and to the same extent as such a health maintenance organization.
26 U.S.C. § 9832 — for purposes of this chapter (3 versions over time)
The term "health maintenance organization" means—
(A) a federally qualified health maintenance organization (as defined in section 1301(a) of the Public Health Service Act (42 U.S.C. 300e(a))),
(B) an organization recognized under State law as a health maintenance organization, or
(C) a similar organization regulated under State law for solvency in the same manner and to the same extent as such a health maintenance organization.
29 U.S.C. § 1191B — for purposes of this part (5 versions over time)
The term "health maintenance organization" means—
(A) a federally qualified health maintenance organization (as defined in section 1301(a) of the Public Health Service Act (42 U.S.C. 300e(a))),
(B) an organization recognized under State law as a health maintenance organization, or
(C) a similar organization regulated under State law for solvency in the same manner and to the same extent as such a health maintenance organization.
42 U.S.C. § 300E — for purposes of this subchapter (2 versions over time)
For purposes of this subchapter, the term “health maintenance organization” means a public or private entity which is organized under the laws of any State and which (1) provides basic and supplemental health services to its members in the manner prescribed by subsection (b), and (2) is organized and operated in the manner prescribed by subsection (c).
42 U.S.C. § 300GG — in this section (8 versions over time)
The term “health maintenance organization” means—
(A) a Federally qualified health maintenance organization (as defined in section 300e(a) of this title),
(B) an organization recognized under State law as a health maintenance organization, or
(C) a similar organization regulated under State law for solvency in the same manner and to the same extent as such a health maintenance organization.