Word: nonprofits
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Dates: during 1990-1999
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...being driven by too many, in some cases to keep shareholders happy with fat profits. "In the fee-for-service days, there was a very perverse system that rewarded doctors for doing way too much medicine," says Dr. David Lawrence, chairman and ceo of California's huge, and nonprofit, Kaiser Permanente. "Now we have a system creating incentives to do too little." Dr. Alan Fogelman, head of UCLA's Department of Medicine, thunders, "People who are sick will be allowed to die because it's the best economically...
...among profit-making HMOs, there is a wide range. One managed-care plan in New Jersey spent only 59% of its premium dollars on care, while some California for-profit HMOs pay out as much as 88%. But few of the profitmakers pay out as much as the best nonprofit plans: 89% for Harvard Pilgrim Health Care, 94% for Kaiser...
Oddly, Choice Plus was not created in reaction to any bitter consumer backlash. Minnesota law requires all managed-care plans to be nonprofit, so there was no suspicion that patients were being shortchanged for the benefit of Wall Street. And 87% of the state's citizens tell pollsters they are satisfied with their medical care. But workers did grumble about cumbersome approval procedures, the need to change physicians whenever companies changed medical plans, and limited choices...
...magazines, have attempted to rank the HMOs, but their various methods of scoring are at cross-purposes--and may have little to do with the quality of care. For starters, some HMOs have simply declined to participate in these surveys or submit to the accreditation process established by the nonprofit National Committee for Quality Assurance. Moreover, a recent Massachusetts study found that high member "satisfaction" rates reflect good customer relations, not necessarily good medicine...
...leader for the project's second phase, Kamarck will work with Nye to examine the changing roles of governments, private firms and nonprofit organizations in modern democracies...