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The Ross-Loos Clinic, founded in Los Angeles in 1929, is generally considered to have been the first HMO. Henry J. Kaiser organized hospitals and clinics to provide pre-paid health benefits to his shipyard workers during World War II. This became the basis for the Health maintenance organization|health maintenance organization (HMO) Kaiser Permanente. Most early HMOs were non-profit organizations. The development of HMOs was encouraged by the passage of the Health Maintenance Organization Act of 1973. Benefits are provided through a network of providers. Providers may be employees of the HMO ( staff model ), employees of a provider group that has contracted with the HMO ( group model ), or members of an independent practice association ( IPA model ). HMOs may also use a combination of these approaches ( network model ).

When you begin a new job, your employer may require a waiting period before you can sign up for health coverage. This waiting period is called an HMO affiliation period, and you will not have health insurance coverage during this time. This waiting period, however, must be applied consistently and cannot vary due to your health status.



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