reimbursement: federally qualified HMO's
HMO's that meet certain federally stipulated provisions aimed at protecting consumers, e.g. providing a broad range of basic health services, assuring financial solvency, and monitoring the quality of care. HMO's must apply to the federal government for qualification. The process is administered by the Office of Prepaid Health Care of the Health Care Financing Administration (HCFA), Department of Health & Human Services (DHHS).*
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*Extracted from Family Physicians and Managed Care: A View to the 90's: (paperback 1993) with permission from American Academy of Family Physicians