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Related Experiment Videos

Preimbursement: a new concept for HMO planning.

L Johns

    Medical Care
    |March 1, 1975
    PubMed
    Summary

    The Health Maintenance Organization (HMO) concept is better understood due to federal support. This paper discusses a refinement for financial arrangements between HMOs and providers.

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    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Health Economics

    Background:

    • Federal endorsement has increased understanding of Health Maintenance Organization (HMO) concepts.
    • Fee-for-service medicine lacks many concepts now understood within HMOs.
    • Adaptation of HMO concepts to specific situations necessitates refinement.

    Purpose of the Study:

    • To discuss a specific refinement for financial arrangements.
    • To address the financial agreements between HMOs and contracting providers.

    Main Methods:

    • Conceptual discussion and analysis.
    • Exploration of financial arrangement models.

    Main Results:

    • Identification of a specific refinement for HMO-provider financial agreements.
    • Detailed examination of the proposed refinement's applicability.

    Conclusions:

    • Refinements in financial arrangements are a natural evolution of the HMO model.
    • The discussed refinement offers a practical adaptation for specific healthcare contexts.

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