Word: hmos
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...HMOS TAKE THEIR CUE FROM industry and replace those annoying doctors with robots? Then their nonmedical bureaucrats can make the diagnosis and decide on the treatment. And the HMOs could get on with their primary purpose--making money. MARCIA EVE KELLEY Richmond, Virginia
YEARS OF HEALTH-SERVICES RESEARCH indicate that the quality of care in HMOs is as good as--and in many cases better than--the care delivered in old-style, fee-for-service settings. Moreover, satisfaction surveys reveal that the 100 million Americans enrolled in HMOs, preferred-provider organizations and other managed-care plans are pleased with the treatment they receive. Through the years, these plans have developed integrated, coordinated care systems that ensure continuity and seamlessness for patients. These systems allow physicians to study the health of their patient population over time so that they can work together to improve...
Experts remember Ebert as a pioneer in the establishment of HMOs as the most cost-effective means of providing health care...
...ever a program was born because of the inspirational leadership of one man, this was it," Dr. Joseph Dorsey, corporate medical director of Harvard Pilgrim Health Care, told the Boston Globe. "Now there are HMOs growing all over the place. But when Bob Ebert got the Harvard Plan started, it was a big deal. Most of the medical community did not think it was a good idea...
Under the old medicine, research hospitals paid for clinical research through billing surpluses; grants from the National Institutes of Health tended to pay only for big-ticket basic science. Colorado's Dr. Jones accuses HMOs of placing medicine in a double bind. "Is it reasonable," he asks, "for an insurer to demand the gold standard of proof and simultaneously refuse to pay for patients to enter a trial to get that level of proof?" Dr. Jones is convinced that women who once would have come to him for a transplant aren't coming because their doctors, operating under tight managed...