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Controlling disenrollment in health maintenance organizations
D G Shimshak1, M C DeFuria, J J DiGiorgio
1Management Sciences Department, University of Massachusetts, Boston.
Health Care Management Review
|January 1, 1988
Summary
Health maintenance organizations (HMOs) face enrollment challenges due to competition. Understanding disenrollment factors and management strategies is crucial for HMO success and member retention.
Area of Science:
- Health Services Research
- Healthcare Management
- Health Economics
Background:
- Increasing competition impacts health maintenance organizations (HMOs) negatively.
- Maintaining enrollment levels is a significant challenge for HMOs.
- Disenrollment is a critical issue affecting HMOs' stability and growth.
Purpose of the Study:
- To explore factors contributing to health maintenance organization (HMO) disenrollment.
- To examine the implications of disenrollment for HMO management.
- To identify effective approaches for measuring and monitoring HMO disenrollment.
Main Methods:
- Literature review on HMO disenrollment studies.
- Analysis of factors associated with member attrition.
- Examination of management strategies for enrollment retention.
Main Results:
- Competition is a primary driver of HMO disenrollment.
- Understanding disenrollment factors is key to effective management.
- Monitoring disenrollment trends allows for proactive interventions.
Conclusions:
- HMOs must address competitive pressures to reduce disenrollment.
- Strategic management of disenrollment is vital for organizational health.
- Implementing robust measurement and monitoring systems enhances HMO performance.