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HRD-79-34 1 (1979-01-16)

handle is hein.gao/gaobabkko0001 and id is 1 raw text is: 

                       COMPTROLLER GENERAL OF THE UNITED STATES
                                WASHINGTON. D.C. ZS48

VP_                              RELEASED
                                                     JANUARY 16, 1979
        (,.                      .,,B-164031( 5) .       *  O, ,e .I
                                                        ~~approval

        Chairman and Ranking Minority Member
        Subcommittee on Health and Scientific
          Research                                 7
        Committee on Human Resources     Ji
        United States Senate

        Chairman and Ranking Minority Member
        Subcommittee on Health and the Environment
        Committee on Interstate and Foreign

        House of Repre

             The enclosures summarize our observations on 10 of the
           4ealth iaintenance rganizations (HMOs) that we reviewed
         in d&Empliahne with secton 1314 of the Heath Maintenance
         Organization Act, as amended. We issued separate reports to
         you on the other four HMOs. Our report to the Congress,
         Can Health Maintenance Organizations Be Successful?--An
         Analysis of 14 Federally Qualified 'HMOs' (HRD-78-125,
         June 30, 1978), summarized all our evaluations initiated
         under section 1314.

              Section 1314 required us to evaluate the operations of
         certain HMOs which have been certified by the Department of
         Health, Education, and Welfare (HEW) as complying with the
         act's organizational and operational requirements and which
         have received financial assistance under the act.

              The act required us to report to the Congress on the
         ability of these qualified HMOs

              --to meet the act's requirements regarding their organi-
                zation and operation, including their ability to in-
                clude medically indigent and high-risk individuals in
                their membership and to provide services to medically
                underserved populations and

              --to operate on a fiscally sound basis without continued
                Federal financial assistance.


                                                            HRD- 79-1-4
                                                            (102003)

                           089260
                  3 3 5;2

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