The HMO backlash - righteous or reactionary?
Article Abstract:
The best outcome of the backlash against health maintenance organizations (HMOs) would be to return them to their original form. So far, 35 states have passed laws restricting HMOs. Most of the complaints from physicians center on gag rules and exclusion clauses. Patients complain that they are denied access to health care, particularly care from specialists. Many HMOs pay physicians a set fee plus bonuses that reward physicians for limiting expensive health care. Physicians have responded by creating their own HMOs and Congress authorized medical savings accounts, which could attract healthy people away from HMOs.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1996
User Contributions:
Comment about this article or add new information about this topic:
How large employers are shaping the health care marketplace
Article Abstract:
Large employers, in an effort to reduce the cost of providing health insurance to employees, have substantially influenced the health care system in the US. The advent of managed-care insurers has shifted power from hospitals and physicians to the companies that pay for services. Large companies and regional alliances, intolerant of the growing cost of insurance premiums, have formed negotiating groups, forced employees into managed-care plans, limited employee choices, or opted out of the insurance system altogether by negotiating with hospital groups or by self-insuring.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1998
User Contributions:
Comment about this article or add new information about this topic:
- Abstracts: Uneasy alliance: clinical investigators and the pharmaceutical industry. California's beleaguered physician groups -- will they survive?
- Abstracts: Mental stress-induced myocardial ischemia and cardiac events. Effects of Mental Stress in Patients With Coronary Artery Disease
- Abstracts: The acute respiratory distress syndrome. Acute pulmonary edema. Severe sepsis a new treatment with both anticoagulant and antiinflammatory properties
- Abstracts: Pulmonary Artery Catheterization and Clinical Outcomes: National Heart, Lung, and Blood Institute and Food and Drug Administration Workshop Report
- Abstracts: Promotion of women in academic medicine: shatter the ceilings, polish the floors. The Plight of Academic Health Centers