As the HMO
continues to evolve, Pisano said, it will likely borrow features from some of the newer models that emerge.
I'm in the exploratory, creative phases of a potential clinical and business model, but any health reform strategy is going to be far more complex than the HMO
approach, which left too much to chance.
There are several reasons why Ellwood's hope that "market forces" could protect patients from HMO
abuse was doomed.
Savvy Medicaid patients can get top-quality care without having to clear the bureaucratic hurdles erected by some HMOs
Five of the 15 risk sample HMOs
and 3 of the 11 commercial sample HMOs
identified HCFA's access standards (which require that enrollees have access to primary and specialty care within certain distance or travel times) as Federal requirements that are more difficult for the HMO
to meet in rural areas.
1,252,000 Statement of income Year ended Decomber 31, 1994 Revenues Net patient service revenue-non-hmo 1,250,000 HMO
capitation receipts 2,600,000
Most of the well-established HMOs
and managed care plans have a sizable number of participants--albeit white--with large, multi-disciplined practices.
managed to push the number of hospital days for Medicare members 1 per cent lower than in 1988.
Supreme Court decision barring patients from suing their HMOs
in state court over denied benefits is seen as a significant victory for health insurers.
That provides for a pretty simple equation: If people are paying the health maintenance organizations more, and the HMOs
are paying the doctors and hospitals less, the HMOs
must be making out like bandits.
Q: What sort of work do you do in the HMO
On January 1, 1999, more than 400,000 Medicare recipients lost their HMO