Word: hmos
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...HMOs tell us what to prescribe. They have lists of (cheap) drugs for which we don't have to spend hours filling out forms, and lists of (less cheap) drugs we can only get with forms, and lists of (not cheap) drugs they won't pay for no matter what...
...Hospitals tell us what to prescribe. They have formulary lists, somewhat like the HMOs, and contracts with equipment suppliers whose implants they force us to use. It is perhaps because of these strong voices that the reps are more effective. While those stern voices tell, the friendly pharma babe, just asking, is often a more forceful persuader...
...patient surveys on the quality of care received. The VA scored 83 out of 100; private institutions, 71. Males 65 years and older receiving VA care had about a 40% lower risk of death than those enrolled in Medicare Advantage, whose care is provided through private health plans or HMOs, according to a study published in the April edition of Medical Care. Harvard University just gave the VA its Innovations in American Government Award for the agency's work in computerizing patient records...
...uninsured city dwellers will gain access to basic medical services they otherwise couldn't afford. While not free, the care will come at sharply reduced costs. Enrollment fees will range from $3 to $201, depending on participants' incomes. Most, however, will pay $35 a month-far less than what HMOs typically charge...
...employed - no longer Medicaid eligible - and she had paid $45 for the clinic visit that day. And because she wasn't in any health plan that could strong arm down the hospital bill - they got about $800 for the half-hour use of the 'local room' from HMOs - she was vulnerable to the full-ticket "private fee". Rosa could barely afford the $45 for clinic. She was going to have to live with the pain...