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Contractual arrangements between residency programs and HMOs.

J M Corrigan1, L M Thompson

  • 1National Committee for Quality Assurance, Washington, DC 20005.

The Journal of Family Practice
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

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Health maintenance organizations (HMOs) commonly contract with graduate medical education (GME) programs, particularly family practice. These contracts provide a stable patient base for residency programs.

Area of Science:

  • Medical Education
  • Health Services Research
  • Healthcare Management

Background:

  • Many health maintenance organizations (HMOs) are involved in graduate medical education (GME).
  • Little is known about HMOs' provider contracts with GME faculty or residents.
  • Provider contracts are for services rendered to HMO enrollees, not educational collaboration.

Purpose of the Study:

  • To determine the extent of HMO provider contracts with GME faculty and residents.
  • To assess HMO enrollees' role as a patient base for ambulatory GME.

Main Methods:

  • A 1990 survey by the Group Health Association of America.
  • Sampled residency training programs in family medicine, internal medicine, and pediatrics.
  • Assessed physician participation in HMOs and patient base utilization.

Related Experiment Videos

Main Results:

  • 42% of residency programs have provider contracts with HMOs.
  • Family practice programs (64%) are most likely to have contracts, followed by pediatrics (28%) and internal medicine (24%).
  • Independent practice associations are the most common contract type.

Conclusions:

  • Provider contracts between HMOs and primary care residency programs are common, especially in family practice.
  • These contracts likely stabilize the patient revenue base for residency programs.
  • Long-term impacts on practice styles and GME financing remain unclear.