Dunmire S N
J Med Pract Manage. 1986 Fall;2(2):100-2.
The growth of health maintenance organizations (HMOs) and preferred provider organizations (PPOs) has continued in the past 3 months, marked by both an increase in numbers and enrollment. Independent practice associations (IPAs) have taken the lead as the dominant model type. The intensified activity and growth in HMOs have resulted in considerable discussion centering on cost containment and quality of care issues. Employers, enrollees, the Health Care Financing Administration, and the HMOs, each with its own vested interest in these issues, attempt to resolve the conflicts between the cost and quality of healthcare in prepaid plans.
在过去的3个月里,健康维护组织(HMO)和优选医疗机构(PPO)持续发展,其标志是数量和参保人数均有所增加。独立执业协会(IPA)已成为主导模式类型。HMO活动的加强和发展引发了大量围绕成本控制和医疗质量问题的讨论。雇主、参保人、医疗保健财务管理局以及HMO,在这些问题上各自都有既得利益,它们试图解决预付计划中医疗保健成本与质量之间的冲突。