HMOs

ISSN 0256-5004 (Print)

AIMS Journal, 2014, Vol 26. No 3

Allyson Pollock in her article, Primary Care – From Fundholding to Health Maintenance Organisation?¹ describes HMOs in this way:

In the United States, Health Maintenance Organisations (HMOs) have become large for-profit multibillion dollar businesses. Some of them are owned by doctors, who in turn employ and salary or contract with other doctors. HMOs have three features:

First, they combine the insurance function with the provider function.

Second, they do not provide universal coverage: as provider organisations they are free to pick, choose and select the patients they will cover on the basis of risk. Because of this they neither serve local geographic areas, nor do they have any direct accountability to local communities.

Third, they are not restricted in size and are free to compete for patients and populations and buy-out competing services. In many deprived inner city areas, this has led to the buy-out and closure of local services because they are unprofitable and public hospitals are left to serve the most vulnerable groups without the benefit of pooling risk. In many cities, these public hospitals are also threatened and being closed, leaving virtually no safety net for the poor and the forty million unemployed.

Reference

1. Pollock AM (1998) Primary Care – From Fundholding to Health Maintenance Organisation? NHS Doctor and Commissioning GP p6-7 available at www.allysonpollock.com/wpcontent/uploads/2013/05/NHSDrCommGP_1998_Pollock_FromFundholdingToHMOs.pdf


AIMS supports all maternity service users to navigate the system as it exists, and campaigns for a system which truly meets the needs of all. AIMS does not give medical advice, but instead we focus on helping women to find the information that they need to make informed decisions about what is right for them, and support them to have their decisions respected by their health care providers. The AIMS Helpline volunteers will be happy to provide further information and support. Please email helpline@aims.org.uk or ring 0300 365 0663.

Latest Content

Journal

« »

On message - What can we learn from…

AIMS Journal, 2020, Vol 33, No 1 By Sophie Martin We all have continuous internal monologues running day and night 1 . Much of what the voices in our heads say is a refle…

Read more

Getting to grips with the first Ock…

AIMS Journal, 2020, Vol 33, No 1 By the AIMS Campaigns Team Donna Ockenden and her team’s first – interim – report was published in December 2020. It starts to lay bare h…

Read more

Editorial: Salutogenesis - Putting…

AIMS Journal, 2020, Vol 33, No 1 By Alex Smith The theme for our March edition of the AIMS Journal is Salutogenesis. Salutogenesis is a term introduced by sociologist and…

Read more

Events

« »

AIMS 60th Anniversary Event - Confe…

POSTPONED FROM JUNE 2020 Making a difference past and future The purpose of the day is to celebrate what Birth Activists in general and AIMS in particular have achieved,…

Read more

AIMS Annual General Meeting 2020

This year’s AGM will be an online meeting, so we plan to keep it to two hours. However, there will be the opportunity to stay, chat and socialise with friends and colleag…

Read more

Latest Campaigns

« »

Report on the But Not Maternity/Nat…

AIMS and our partners in the But Not Maternity Alliance and National Maternity Voices organised a webinar for MVP/MSLC representatives. The purpose was to raise awareness…

Read more

Press release: We have a roadmap fo…

AIMS and our partners in the But Not Maternity Alliance have issued a press release on the nationwide status of maternity restrictions highlighting the huge variation bet…

Read more

AIMS Submission to the Violence Aga…

AIMS has responded to the call for evidence to inform the Government’s Violence Against Women and Girls (VAWG) strategy 2021 to 2024 Violence Against Women and Girls (VAW…

Read more