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Health Maintenance Organization (HMO)

A form of health insurance that requires users to seek care from a specific 'network' of providers, and often requires referrals from a general practitioner before a patient can seek care from specialists.

Presumptive Eligibility for Medicaid

A provision that allows providers to treat (and be reimbursed for) patients who they presume to be eligible for Medicaid, even if that patient is…