Word: hmos
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Just before the holiday weekend, HMOs threw a monkey wrench into the already convoluted politics of Medicare. The trade association for the managed care industry announced that HMOs would be increasing premiums or cutting benefits for most of the 6 million Medicare patients enrolled in their programs next year. Worse, some 250,000 Medicare patients would be dropped from HMO rolls altogether. The reason: The federal reimbursements for taking on Medicare patients are insufficient, said the industry. Medicare officials disagreed, but they limited their immediate public reaction to that of a muted ?disappointment? over a development that could seriously complicate...
...President?s long-term health strategy has heavily relied on moving the elderly into HMOs,? says TIME congressional correspondent John Dickerson. One of the big attractions for the White House and its allies was that HMOs could cut costs because of their presumed economies of scale. Another major point was that such economies allowed many HMOs to provide prescription drug coverage. But the latest move by the industry throws many of these assumptions up in the air. Moreover, the development comes at a time when a growing number of patients have started to complain about HMO policies that smack...
...Medicare reforms on Tuesday, a what's-not-to-like mix of senior-pleasing pork and future-inspired frugality. The headliner, a plan for prescription-drug coverage, would cost $118 billion over the next 10 years. But Clinton wants to add some copayments, nudge healthier people into cost-effective HMOs and increase competition among hospital-equipment contractors -? saving, by White House estimates, $44 billion over that same period. The less glamorous, below-the-fold story has the President dedicating $794 billion to Medicare over the next 15 years, a move that should extend the life of the Medicare Trust Fund...
...have problems with HMOs gotten? Bad enough for doctors, at least, to start thinking about the unthinkable: forming a union. The idea of taking a cue from blue-collar-labor history is one of the hottest topics at this week?s convention of the American Medical Association in Chicago. Many doctors around the country are growing increasingly frustrated at the restrictions that HMO money-vetting procedures have imposed on the exercise of their medical judgment. And a growing number of them want to do something about...
Owner Phyllis Madanian says the store has been hurt by HMOs and other health plans, which cap the prices for drugs...