Patient self-selection in HMOs.
Patient self-selection in HMOs.
复制标题
HMO 中的患者自我选择。
作者：
G. Wilensky;L. Rossiter
Prologue: Who enrolls in health maintenance organizations and for what reasons? Answering these questions is a perplexing, hut increasingly important public policy challenge as the federal government demonstrates growing interest in capitation as its payment method of choice. In this essay, economists Gail Wilensky of Project HOPE and Louis Rossiter of the Medical College of Virginia address the issue of patient self-selection by summarizing the current literature and an important collection of recently released new studies. The patient selection issue has grown in importance because as the health delivery system becomes more price competitive, health plans are developing more sophisticated methods for enrolling new members. This issue is pronounced in relationship to Medicare beneficiaries. Because older people in general consume far more medical resources, the health status of any elderly person becomes an important economic question for a health maintenance organization (HMO) that is operating at finan...
