1) why was there a backlash against HMO\'S in the 1990s? 2) What\'s the purpose
ID: 2746214 • Letter: 1
Question
1) why was there a backlash against HMO'S in the 1990s? 2) What's the purpose of the national committee on quality assurance? 3) describe how health care effectiveness data and information set works? 4) whay is the Medicare act of 1965 so significant in the process of the financing health care? 5) why was the diagnosis related group prospective payments effective in reducing the cost of health care?1) why was there a backlash against HMO'S in the 1990s? 2) What's the purpose of the national committee on quality assurance? 3) describe how health care effectiveness data and information set works? 4) whay is the Medicare act of 1965 so significant in the process of the financing health care? 5) why was the diagnosis related group prospective payments effective in reducing the cost of health care?
2) What's the purpose of the national committee on quality assurance? 3) describe how health care effectiveness data and information set works? 4) whay is the Medicare act of 1965 so significant in the process of the financing health care? 5) why was the diagnosis related group prospective payments effective in reducing the cost of health care?
Explanation / Answer
Ans 1
The organizational innovation of managed care firms
was to integrate physicians and insurers partially/ completely to align their incentives and
discourage physicians from inducing demand for medical care. The most known kind of
managed care organization, the HMO, restricted its patients to see a strictly delimited net-
work of providers, who at times were its employees. While the growth of health insurance
premiums slowed a lot, patients and physicians chafed under managed care controls.
At the end of the 1990s, there occured a backlash against managed care cost con-
tainment practices, with increasingly negative media coverage of managed care. Finally,
state governments passed "patients.bills of rights" that limited the ability of managed care
firms to restrict care and shape the incentives of medical practitioners.
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