Selecting affiliates for a national HMO network: developing and implementing performance standards

The evaluation process was developed for a specific, unique purpose. The subsequent success of the network and the performance of its HMOs in satisfying member and employer requirements lend support to the assertion that this was an effective approach. That success has also allowed the HMOs to benefit from national network affiliation through increased membership and revenue. The network offers its affiliates the prospect of making a transition from local HMOs to a national health care delivery system over the coming years.