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    HMO Regulation

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    HMO Regulation Health Maintenance Organizations, or HMO’s, are a very important part of the American health care system. Also referred to as managed care programs, HMO's are combinations of doctors and insurance companies that are formed into one organization. This organization provides treatment to its members at fixed costs and decides on what treatment, if any, will be given based on the patient's or doctor's current health plan. Sometimes, no treatment is given at all. HMO's main concerns are

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    HMO Regulation

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    HMO Regulation Health Maintenance Organizations, or HMO's, are a very important part of the American health care system. They involve elements such as beneficial health care programs like Medicare for seniors and Medicaid for the poor. HMO's are sometimes referred to as managed care programs, which involves participation through clinics, physicians and insurance companies. Other essential parts of HMO's include prescription drug plans, such as distribution and cost, and they are also important

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    Healthcare, Medicare, and Medicaid

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    have turned to managed-care programs, known as HMOs. The second type of health care offered to Americans is Medicare, health care for the elderly. The third type of health care is Medicaid, a health care program for the poor. Why is our health care system made up of three components, and how did the U.S. health care system develop? A Historical View The idea of prepaid health care dates back to the beginning of the 20th century. The first HMOs were started in the 1920s in Elk City, Oklahoma

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    Getting Out Of Reach

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    managed care. The continue rise in prescription drugs costs has touched off intense public debate on how best people can get some relief. Some politicians and consumer groups have pushed for some form of price controls. Drug companies oppose price regulations. They contend it would restrain innovation in an industry that invests billions of dollars annually on research. Joe Madera, a retired man in his late 60s living in Pomona, CA, pays more than $250 a month out of pocket for prescription drugs to

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    Health Care Reform

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    (Whigham-Desir, 1996). Managed care has been around since the 1930s when HMOs were formed to promote preventive medicine among doctors (Sprag... ... middle of paper ... ...s its moral power." Health care is one of the most important aspects of society, and with the change taking place, it is paramount that it is a managed change which will benefit everyone. Works Cited: Bennett Clark, Jane (1996, July). What you should ask your HMO. Kiplinger's Personal Finance Magazine. pp. 92-93. Glazer, Sarah

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    Hmos: Making A Killing

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    FACT: Currently 46 million Americans live without any health care insurance whatsoever. FACT: The United States is the only industrialized nation in the world that does not provide health care insurance for all of its citizens. FACT: The United States spends more money per person on health care than any other nation in the world. FACT: The World Health Care Organization has ranked the United States 37th in the world regarding the health care a country provides for its people. FACT: No country

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    HMOs: The Health Care of the Beast Many people are concerned about rising health care costs. In reaction to this, some individuals and companies are gravitating toward the assumed lower prices of Health Maintenance Organization (HMO) health plans. HMOs spend billions of dollars each year advertising their low cost services. While these savings look good on paper, there are many pages of small print. The explanation after the asterisk indicates that not only do the HMOs lack lower costs, but they

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    The Health Care Puzzle

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    system in particular that has violated the system is the HMO, or Health Maintenance Organizations, a public provider which forces their patient to choose from an assortment of their physicians. Since their establishment, HMOs have gradually decreased the quality of patient health care significantly, especially in hospitals. Debates over the health care provided by HMOs have arisen in many cases. For an alarming majority, organizations like the HMO are the only affordable option for providing health

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    HMOs Failing State Standards

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    HMOs Failing State Standards New Yorkers may be covered by one of the nation's most comprehensive health consumer protection laws--but insurers routinely flout it, according to a report released yesterday by New York City Public Advocate Mark Green. Posing as prospective clients, Green's investigators called 12 of the region's health maintenance organizations, including some of the largest on Long Island and in Queens, to get information about their complaint records, lists of covered prescription

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    student

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    I believe managed care plans do not provide coverage for the necessary duration of hospital stays. Most managed care plans, particularly HMOs, are run by for-profit companies. These for-profits are constantly looking for ways to cut costs and increase their market share. Managed care plans limit choice of physicians and health care facilities and tightly control both the utilization of services and the amount charged for these services. In many plans, a set fee per person/per month is negotiated

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