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Related Experiment Videos

Four systems develop regionally organized HMO.

M Fritz

    Health Progress (Saint Louis, Mo.)
    |March 11, 1987
    PubMed
    Summary
    This summary is machine-generated.

    HealthPlus HMO, Inc. was established as a joint venture to provide affordable healthcare. This health maintenance organization (HMO) successfully expanded services and membership within its initial years.

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    Area of Science:

    • Healthcare Management
    • Health Services Research
    • Joint Venture Analysis

    Background:

    • Four healthcare systems initiated a joint venture in 1984 to explore the feasibility of a Health Maintenance Organization (HMO) in Indiana.
    • The primary objectives included market share protection, local ownership, and offering comprehensive, affordable healthcare services.

    Purpose of the Study:

    • To detail the establishment and organizational structure of HealthPlus HMO, Inc.
    • To outline the initial goals and operational model of the joint venture.
    • To report on the early growth and service offerings of the HMO.

    Main Methods:

    • Formation of a joint venture involving four healthcare systems.
    • Development of a regional organizational structure with shared financial risk.

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  • Implementation of a primary care physician model for service delivery.
  • Main Results:

    • HealthPlus HMO, Inc. was established with a 12-member board and contracted management.
    • By January 1987, the HMO included 16 hospitals, 345 primary care physicians, over 1,000 specialists, and 13,100 members.
    • The organization expanded its offerings to include a triple-option product and non-health-related products.

    Conclusions:

    • The joint venture successfully launched HealthPlus HMO, Inc.
    • The HMO demonstrated significant growth in participating providers and membership within its initial years.
    • HealthPlus expanded its product line beyond traditional health services.