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Aetna Open Access http://www.aetnafeds.com Customer Service 1-800/537-9384 2014 A Health Maintenance Organization (high and basic option) This plan's health coverage qualifies as minimum essential
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A health maintenance organization (HMO) is a type of health insurance plan that provides a network of healthcare providers and facilities for members to receive medical services.
Health maintenance organizations are required to file with the appropriate regulatory agencies and comply with state and federal laws governing the operation of HMOs.
To fill out a health maintenance organization, one must provide information about the organization's structure, leadership, financials, network of providers, quality of care measures, and regulatory compliance.
The purpose of a health maintenance organization is to provide cost-effective, comprehensive healthcare services to members through a managed care model that emphasizes preventive care and coordination of services.
Information that must be reported on a health maintenance organization includes financial statements, network adequacy, quality of care measures, compliance with state and federal regulations, and member satisfaction ratings.
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