HMO Implications for Health Administration

Poll leads demonstrating that patients be fulfil with their health maintenance organizations tend to reflect healthy patients. These people ar the legal age of the enrollees; they pay 20 percent to 30 percent less(prenominal) for their medical solicitude and they receive preventive medical care. collectible to a curb budget, and the cost of serious or inveterate conditions, the health maintenance organization is not as efficient in these instances. The HMO is the authority in determining necessary treatments and decisions are do that benefit the organization; economics appear to be hardened ahead of medical care needs (Friedenberg, 1996).

The HMO has limited money that must be budgeted. It is reported that HMOs spend 80 cents of either premium dollar on medical care and the other 20 cents on administration and profits; Kaiser spends 90 cents per premium dollar on health care. Profits are still accumulating. It is stated that in 199

Growth in HMO membership continues in scandalise of difficulties and criticisms received. HMO deficiencies hold low quality, poor management, interference with medico autonomy, inability to contain costs, lack of access to the poor or elderly, and restraint of trade. HMO advantages consist of decreased medical costs, hinderance medicine, and the potential to provide care to everyone in the United States. Disadvantages include that the patient must see a primary atomic number 101 who is the gatekeeper regarding decisions for tests, referrals, and consultations, and patients may be subjected to frustration or denials of treatment.

Widra, L. S., & Fottler, M. D. (1992). Determinants of HMO success: The case of complete health. health Care set Rev, 17 (2), 33-44.

Complete Health provides alternative methods of establishing and maintaining an HMO.

Included in their package is the focus on customer satisfaction; every effort is made to insure quality care. Although the company is experiencing success, workloads on employees are resulting in staff turnover which may result in adverse effects for the future.

Growth rates in HMO registration change magnitude by the smallest percentage in five years, in 1987. The number of HMOs to go bankrupt increased from five or six in 1986 to 30 in 1987. These changes are attributed to increased competition as well as the problems experienced. Hybrid models to study the features of managed-care systems, capture the positive and minimize deficiencies, are developing. One particular hybrid is the corporate model IPA-HMO (individual implement association-model HMO), Complete Health; this is an IPA-model HMO with a federally hooked subsidiary. Founded in 1986, it was sponsored and backed financially by the University of Alabama Health Services Foundation and a group of businessmen. In smart of substantial competition, Complete Health possesses the largest current HMO enrollment and growth rate of enrollment, in Alabama (Wi
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