Health maintenance organizations (HMOs) seeking federal qualification under the HMO Act of 1973 and its amendments must meet requirements in four basic operational areas. One operational requirement for qualification is that an HMO must

Question

Quizplus · Accepted Answer

The operational requirement for an ongoing quality assurance program that meets CMS requirements, stresses health outcomes, and provides for review by health professionals is a key requirement for HMO qualification under the HMO Act of 1973 and its amendments. While both A and B may be important for ensuring representation and diversity on the HMO's policy-making body, they are not listed as operational requirements for qualification under the HMO Act. Option D is not a requirement for HMO qualification, but rather a resource for HMOs seeking to improve the quality of care.

Health Maintenance Organizations (HMOs) Seeking Federal Qualification Under the HMO