Title | Industry and HMOs: A Natural Alliance [electronic resource] / edited by Richard H. Egdahl, Diana Chapman Walsh |
---|---|
Imprint | New York, NY : Springer New York, 1978 |
Connect to | http://dx.doi.org/10.1007/978-1-4612-9952-3 |
Descript | 117 p. online resource |
1. What Can Industry Do for HMOs and HMOs for Industry? -- HMOs and Health Care Costs -- Industry and HMOs -- Notes -- 2. Defining Corporate Strategies and Goals -- Organizational Patterns and Beginning Steps -- Savings Potential in an HMO: The First Cut and a Second Look -- Data Deficiencies: Approximations and Proxies -- The Current Benefit Package and ManagementโLabor Relations -- The PhysicianโPatient Relationship and the Tightrope of Medical Politics -- Geography: Concentration and Clout -- The โBottom Lineโ Is the Bottom Lineโฆ -- โฆOr Is It? -- Notes -- 3. Identifying Available Options -- Salaried Group HMOs: Roots in Prepaid Group Practices -- Fee-for-Service HMOs -- Other Emerging HMO Models -- Potential Partners for HMO Development -- Notes -- 4. Assessing Legal Obstacles -- Liability Issues for the HMO -- Corporate Liability -- State Law -- ERISA -- Antitrust Law -- Conclusion -- Notes -- 5. Issues for the Future -- The Issues for Industry: Setting Realistic Expectations and Goals -- The Issues for HMOs: Amassing Useful Data and Establishing Credible Records -- The Broader Policy Issue: Who Ought to Realize the Savings? -- Notes -- Appendix I A National Call to Action: Secretary Califanoโs HMO Conference -- Appendix II Bay State Health Care Foundation Hearings -- Appendix III Panel Discussion: Should Industry Sponsor Fee-for-Service HMOs?