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HAVE HMOs BEEN ABLE TO COMPLY WITH REQUIRE
HAVE HMOs BEEN ABLE TO COMPLY WITH THE ACTS
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14 HMOs 1976 amendments 7lan action on proposals administrative basic health services community rating requirement contracts cost curves COSTS AND REVENUES costs per member criteria December 31 dual choice requirement elderly or indigent employee groups enroll persons Federal fee-for-service final regulations financial assistance financial soundness group practice guidelines health benefit plans Health Maintenance Organization Health Plan health professionals HEW demonstrates HEW's high-risk individuals HMO Act HMO Amendments HMO concept HMO managers HMO program HMO's cost HMO's financial HMOs qualified HMOs we evaluated hospital implement loan policy marketing Medicaid recipients medically indigent medically underserved areas Medicare and Medicaid member per month membership ment monthly costs offer dual choice offer open enrollment open enrollment periods outpatient payments percent problems provide health services qualification and compliance qualified HMOs quality assurance programs rate structures RECOMMENDATION reimbursement REVENUES PER MEMBER Secretary of HEW Section serving Medicare staff subscriber rates third-party relationships