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Essay / Research Paper Abstract
A 5 page research paper that relates the history and development of health maintenance organizations (HMOs) focusing on the how legislation has helped to shape this development and the role that evidence-based care plays in managed care decision-making. Bibliography lists 7 sources.
Page Count:
5 pages (~225 words per page)
File: KL9_khhmos.doc
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Unformatted sample text from the term paper:
listed below. Citation styles constantly change, and these examples may not contain the most recent updates. HMO Movement Research Compiled for The
Paper Store, Enterprises Inc. By - July, 2012 properly! In the initial decades of the twentieth century, business
and corporations began offering pre-paid health insurance programs to railroad workers, miners and dockworkers. Employees would contribute to the program via payroll deductions (Owen, 2009). It was at this time
that Henry Kaiser, a successful industrialist, created system of clinics and hospitals wherein California dockworkers had access to prepaid medical care. The Kaiser system facilitated efficiency and accessibility for its
enrolled members by paying their physicians via fixed salaries while also organizing them into practice groups (Owen, 2009). Similar health care plans were created in other locations and this movement
inspired health economist and policymakers to give rise to the creation of HMOs in the 1970s (Owen, 2009). As with the Kaiser plan, HMOs provide a system of prepaid
medical care, which involves physicians and hospitals being paid a fixed amount to provide care for a specific group of patients who pay monthly premiums as subscribers to a HMO
(Kennedy, 2004). They first became popular in the Midwest, but their use soon spread across the nation. At the end of the year, the benefit derived by salaried doctors employed
by HMOs derived from the health status of their patients, but also the extent to which doctors had utilized costly secondary and tertiary services (Owen, 2009). The foundational premise
behind HMOs predicted that physicians and patients would collaborate in order to maximize the health of the patient and this would minimize the use of expensive services and control costs
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