HMO's: A Simple Way Out of a Maze of Health Insurance Choices

Health Insurance Has a Bewildering Array of Products and Providers

The rapid advance of medical, pharmaceutical and diagnostic technologies has left a host of financial and human problems inadequately addressed. Regulators approve of new methods and medicine with increasing frequency and patents result in most of these advances being available at quantum
 jumps in cost to the Health benefit provider or the patient, if coverage is not possible. New disease detection methods involve genetics and bio-physics with the involvement of incredibly expensive reagentsand hardware.

The bludgeoning Healthcare cost to the economy has increasingly become a vital concern for all stakeholders. Health Insurance providers who work for profits have become increasingly wary of offering products with unlimited coverage. Lay people are left to decide on matters such as exclusions, co payments and lifetime limits that they do not understand in full.

Health Insurance coverage for children, the elderly and for women involves deep and extensive knowledge of a number of fields. Agents, doctors and other professionals who can apply relevant criteria to select a Health Insurance product that suits all members of a family are rare. Those who have a feel for the key nuances may not always represent the best interests of a potential client. It is entirely possible to pay an enormous premium for health services that are fortunately not required, but to be left without coverage for essential consultation, tests, hospitalization, surgery and medicines. Differences of opinion between doctors on new technology only confounds patients and makes decision-making ever more difficult.

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Yes, it's true. Doctors get paid bounses from HMOs for denying patients care. HMOs are a racket. They are the worst thing about our health care system.

Posted on 09/11/2008 at 10:09:35 AM

HMOs were a nightmare when Nixon foisted this program through Congress, and still are. HMOs, like most corporately owned medical/hospital organizations nowadays care only for the corporate bottom line profits - gone are doctors who treated people from birth to death and knew them and their history - and hospitals who were run by religious organizations and by individuals with Godly beliefs. Now, it's all about money, just was most everything else in this country has become recently. What we need are more charitable treatment centers, and doctors back in private practices again - which will only happen when the Trial Lawyers Association and lids are placed on medical malpractice awards, so that doctors can afford to be self-employed without fear of losing their licenses for life. Treble damage awards should be the limit, as they once were. It is the greedly lawyers who have a great deal to do with the inability of most people to afford insurance, or have a comfortable relationshi

Posted on 07/24/2008 at 1:07:14 PM

Financial constraints limit the full use of skills and knowledge of the Primary Physician employed by the HMO. For example what drugs could he prescribe and are they just as good as other drugs? The answer is NOT ALWAYS,not necessarily most of the time for some patients. Who can he referr to? The best one for a particular situation or the one that has subscribed to do the HMO's work at a discount (Medicare minus 20% )at the going rate for all medicare age or not, or to another physician in his group regardless if he is the best one for the job. HMO plans all have their own demons, beware.

Posted on 06/02/2008 at 10:06:20 AM

Financial constraints limit the full use of skills and knowledge of the Primary Physician employed by the HMO. For example what drugs could he prescribe and are they just as good as other drugs? The answer is NOT ALWAYS,not necessarily most of the time for some patients. Who can he referr to? The best one for a particular situation or the one that has subscribed to do the HMO's work at a discount (Medicare minus 20% )at the going rate for all medicare age or not, or to another physician in his group regardless if he is the best one for the job. HMO plans all have their own demons, beware.

Posted on 06/02/2008 at 10:06:18 AM

I have been hearing that doctors are being paid more by HMOs to provide less care. Is this true?

Posted on 06/19/2005 at 4:06:00 PM

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