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Tuesday, February 12, 2019

hmos takes the care out of health care Essay -- essays research papers

health maintenance organizations Take The Care Out Of Health Care.In the earliest 1990s insurance companies, in attempt to control spiraling aesculapian examination be, created what would be termed health maintenance organizations, also known as health maintenance organizations. What HMOs do is create a team of physicians and medical personnel that the patients agrees to use. Within the contracts both(prenominal) the patient and the doctor sign, limits and restrictions are put on what the hospital go out reimburse and what they go forth or will not provide in order to keep the costs down. At the beginning, these organizations were successful in take medical costs down and has made health insurance more(prenominal) affordable than ever. However, the contracts that the HMOs redeem you sign basically limits the doctor on how he or she can treat their patients, thus putting their job as the physician in the hands of the HMO. As profits began to go up and down these organizatio ns have put more effort into keeping their costs down and have lost sight of actually care fir tree the patients they are insuring.To prove my thesis in this paper I will discuss how our major(postnominal) citizens and the chronically ill have been hurt by recent cuts their HMOs have made. I will discuss the many reports of HMO negligence and the issues concerning the patient doctor relationship. I will also go into what actions, or lack thereof, our government has taken in response to HMO woes. All of these points will show that HMOs have lost the concept for caring for their patients including our elders who are one genre that are being hit awkward by the actions these HMOs have taken.In January of 2001, nearly one million senior citizens were kicked out of their Medicare health plan (Whats Behind 1). Why have so many HMOs dropped these health plans? The reason why is because these Medicare programs are for the sr. only and simply were not profitting, and in response, the insu rance companies shut them down. The HMOs outcry that federal reimbursement levels were not keeping up with the medical cost pretentiousness forcing them to cut these programs. For instance, in 2001, the governments reimbursement to the HMOs went up only 2 percent while the insurance companys costs went up between 11 and 13 percent (par.3). Though the reimbursement level issues may have contributed to the HMOs decision to cut these pro... ...ted high levels of stress associated with dealing the duple agencies and healthcare providers. Since managed cares beginning, the way medical care has been provided and delivered as drastically changed, and this trend is more than likely to continue. No one is spill to be hit harder by these changes than the families who have children with complex chronic medical conditions.Work CitedAlleger, Irene. HMOs- Business Masquerading as medical Care. Towsned Letter for Doctors and Patients 215 (2002) 135. par. 9. almanac of Policy Issues. Universa l Health Care Coverage. March 29, 2005.American Medical Student Association. Myths & Facts About Single-Payer Universal Coverage. Marc.h 29, 2005Canadian Health Care . Canadian Health Care. March 29,2005.HHSHMOs Ignore Medical Incompotence. worldwide Council fpr Health & Human Services 5.21 (2001) 1-2 par. 17.Tuleya, R.J. The HMO Dilema. Nutrition Health revue The Consumers Medical Journal 79 (1999) 3. par. 22.Whats Behind the Medicare Woes? races Medical Society Newsletter 19.6 (2001) 1-2 par. 7.Universal Health Care. outline of recommendations Poor Health and Homeless. March 29, 2005.

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