Today's HMOs come into a great deal of criticism, yet few people understand their inner workings. This book describes how they operate and why they elicit such criticism. Written with the general public in mind, it gives an overview of the current situation, a history of the HMO industry and how they function, how the federal government got involved, how and why the early models failed, how the large for-profit HMOs entered the picture and how they work, and their impact on the national health care scene. It also presents recommendations on what should be done to provide consumer protection. Finally, it gives users and potential users recommendations, and physicians and other health care provider's recommendations, before becoming involved with HMOs.
Les informations fournies dans la section « Synopsis » peuvent faire référence à une autre édition de ce titre.
The author has spent over 12 years in the health care industry, much of which was involved in the early stages of HMO development, including executive roles in both for-profit and non-profit HMOs. He played a leading and active part in establishing one of the first federally qualified HMOs in the nation. After many years, he left the HMO industry thoroughly disheartened at the failure of the industry to meet it expectations. While engaged in other business pursuits, he was frequently called upon by several physician acquaintances to offer advice on their roles in joining and participating in HMOs, which led to a consulting assignment to a physician group (IPA). This assignment convinced him that the HMO movement had strayed far from its original intent and required someone to write about it.
Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.
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