The 'article four' rule aims to control the numbers and concentration of HMOs
in the area, given it comprises mainly family homes.
In a statement issued on Tuesday, the IC said that the issuance of underwriting guidelines for HMOs
in line with individuals with HIV are in line with Republic Act (RA) 11166 or the Philippine HIV and AIDS Policy Act.
Sure enough, HMOs
had dramatic effects on this ecologically complex community of microorganisms.
It is likely that no other authority in the country has such highquality data on HMOs
, and I would like to place on record my thanks to Prof Smith and Andreas for their work.
However, the insurance chief reiterated there is a need for more regulations concerning different aspects of the operations of HMOs
in the country.
Early this year, Funa said the regulator was pushing for stricter regulation of HMOs
through a law ensuring that consumers would be better protected.
Following assessment, 48% of HMOs
were found to contain Category 1 hazards, the most serious, compared to 38% of non-HMOs.
Rural hospitals, which account for 15 percent of total hospital spending, are excluded because HMO
variables are measured at the MSA level.
Also, "aspects of consumerism like engagement models, cost and quality transparency, and choice and convenience mechanisms, are being layered onto what we traditionally thought of as products like PPOs [preferred provider organizations] and HMOs
," said Tom Richards, senior vice president of product for Cigna Healthcare.
plans are less expensive because they are designed and managed differently, there are efficiency gains due to the more efficient use of health care resources and consumer welfare gains due to greater product selection.
In calendar year 2000, two-thirds of Medicare enrollees lived in a geographic area served by at least one risk health maintenance organization (HMO
) (Figure 1).
Rising health care costs may spark a resurgence of the HMO
among consumers--especially those with low incomes, the Center for Studying Health System Change reports.