WEEK 4 - REPLIES

Week 4 - Replies



John Billingsley

Health Maintenance Organization" means any person that undertakes to provide, or arrange for, basic health care services through an organized system which combines the delivery and financing of health care to enrollees. The organization shall provide physician services directly through physician employees or under contractual arrangements with either individual physicians or a group or groups of physicians. The organization shall provide basic health care services directly or under contractual arrangements. When reasonable and appropriate, the organization may provide physician services and basic health care services through other arrangements. The organization may provide, ...