Word: hmo
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MANAGED CARE If you are one of the 6.3 million Medicare recipients enrolled in an HMO, you can expect to pay more for prescription drugs next year. On average, co-payments are expected to rise 21% for brand-name drugs, 8% for generic drugs. Some HMO's are also tightening annual caps for Medicare recipients: 32% of the plans will set the limit at $500 or less. That's up from 21% in 1999. Should investors dump big drug stocks like Merck? Analysts say the higher costs won't apply to enough consumers to hurt stock prices...
...doctors. In most states, HMOs are protected from liability in cases where treatment is withheld or delayed in the interest of economy ?- although if congressional Democrats, led by Sen. Edward Kennedy (D-Mass.), prevail in upcoming policy debates, the insurance companies? medical decisions will be fair game. Fierce anti-HMO public opinion and the AMA?s fat checkbook are making patients? rights more politically attractive than ever, and despite concerns that opening HMOs to expansive (and expensive) litigation would raise insurance costs, preliminary data from Texas shows virtually no increase in the number of medical lawsuits since that state...
...MAGAZINER Health-care guru cleared of false statements charge. And his HMO I-told-you-so's prove true...
...wider range of options and less of a perceived need to seek out a "safe" profession (medical schools experienced similar fluctuations in the late '70s and early '80s during flush economic periods). Add to that the fact that some doctors report less-than-perfect job satisfaction under the HMO ledger, and suddenly life as "my son the doctor" doesn't seem so appealing...
...morbid fear of water; the other insists that she is a survivor of the mythic deluge that engulfed continental Atlantis millenniums before humans got around to organizing memory into history. Order a brain scan or a cocktail of antipsychotics? Neither choice is likely, not because the gorgon at the HMO refuses to sign off on the procedures but because Dr. Perlman's clinic for the interestingly unhinged is located in low-tech London at the beginning of the 20th century...