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...nearly anybody who has come into contact with the system can recite a litany of horror stories: nitpicking "utilization reviews" of doctors' bills by insurance-company bureaucrats; patients hustled out of a hospital within hours, even after surgery as traumatic as breast removal; gag orders forbidding doctors to tell a patient about an expensive treatment. A recent addition: a patient rushes to an emergency room with what feels like a heart attack but turns out to be only gas pains--and gets zapped with a huge bill because his HMO will reimburse only for a "real" emergency...

Author: /time Magazine | Title: BACKLASH AGAINST HMOS | 4/14/1997 | See Source »

This may be an extreme position, but there is ample evidence that the bottom-line mentality is taking over. HMOs refer to the proportion of premiums they pay out for patient care as their "medical-loss ratio"--a chilling choice of words. The Association of American Medical Colleges reported last November that medical-loss ratios of for-profit HMOs paying a flat fee to doctors for treatment averaged only 70% of their premium revenue. The remaining 30% went for administrative expenses--and profit. Other surveys have yielded less alarming figures, and even among profit-making HMOs, there is a wide...

Author: /time Magazine | Title: BACKLASH AGAINST HMOS | 4/14/1997 | See Source »

That is no comfort to doctors and patients. For-profit plans are reacting to the recent slippage in net by negotiating huge mergers. Some analysts predict that the 30-odd managed-care insurers that compete today in California will be concentrated into seven to 10 by 2005. Such giant combines might be able to hike premiums while squeezing spending on patient care even tighter in an effort to rebuild their margins--and continuing to let their chief executives pile up personal fortunes in salary and stock. One survey found that the salaries of HMO chiefs averaged 62% higher than those...

Author: /time Magazine | Title: BACKLASH AGAINST HMOS | 4/14/1997 | See Source »

...Holy Cross batters were very patient," Jamieson said. "I had more success against teams in Florida that had more power and better hitters...

Author: By Richard B. Tenorio, | Title: Holy Cross Axes Baseball, 3-2 | 4/10/1997 | See Source »

...offense] held on to the ball, they slowed it down," Lyng said. "Honestly, the best defense is a patient offense and that's what we had today...

Author: By Joseph K. Goodwin, | Title: M. Lacrosse Survives Fourth-Quarter Rally by Brown, 7-6 | 4/10/1997 | See Source »

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