Word: hmos
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Dates: during 1990-1999
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...stop these spiraling costs, employers joined managed-care organizations (like HMOs) and began to set their own prices for medical services. Doctors and hospitals must accept these fees or risk losing patients. Hospitals have lost money. At Duke the crisis has spread to the research lab and the medical school. People wonder if the academic medical center--the source of many important scientific breakthroughs--can survive. Meanwhile, managed-care companies, having picked up the easiest profits early on, have begun to see their own costs rise...
...Buying a whole range of health-care companies, which will allow it to deliver "cradle to grave" service in a 32-county region in North Carolina and Virginia. With more patients and a dominant position in a regional market Duke can drive harder bargains with HMOs...
...chief visionary behind Duke's risky refashioning of itself as a health "system," one he's gambling will prove profitable enough to subsidize Duke's money-losing missions in teaching and research. Once, Medicare payments and privately insured patients paid for everything, no questions asked. Now HMOs question everything. The Balanced Budget Act, passed by Congress last year, will mean big cuts in Medicare payments, which, when added to the pervasive weight of managed care, threaten to suffocate places like Duke...
Third, health care. Our current managed care system is a disaster. We need to pass a Patient's Bill of Rights to ensure that medical decisions are made by doctors, not accountants. But simply reforming HMOs does not go far enough. We must take decisive steps to ensure that every American has health care coverage...
...that has just passed the House of Representatives. I have consistently supported legal accountability of federally governed health plans, along with choice and standards of care. The Patient Protection Act accomplishes these goals. While it does not go as far as I would like in allowing patients to sue HMOs for damages, this bill ought to be passed into law this session. I therefore support the Patient Protection Act and will continue to push for full liability reform in January. CHARLIE NORWOOD, U.S. Representative 10th District, Georgia Washington...