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When the physician's plan becomes the customer's health maintenance organization
1Greater Atlantic Health Service, Philadelphia, PA.
Summary
A physician-sponsored health maintenance organization (HMO) faced a major customer demanding lower prices and more accountability. This crisis prompted improvements in managed care capabilities.
Area of Science:
- Healthcare Management
- Health Services Research
- Managed Care
Background:
- A significant client of a health maintenance organization (HMO) has requested increased accountability and substantial price reductions.
- This situation presents a critical juncture for the leadership of a physician-sponsored HMO.