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.
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 Journal, 2019, Vol 31, No 1 By Journal editors Emma Ashworth and Katie Hickey 'Speed Them Up' Kindly donated for AIMS' use by Susan Merrick Can there simultaneously…Read more
AIMS Journal, 2019, Vol 31, No 1 By Debbie Chippington Derrick and Nadia Higson It is very common for women to be told they need to have their labour induced before 42 we…Read more
AIMS Journal, 2019, Vol 31, No 1 By Katie Hickey One of the most well-known medical sayings is, “First, do not harm”. This phrase appears in the Hippocratic Corpus, speci…Read more
Details TBCRead more
Blankenberge, Belgium • 30 October – 3 November 2019 This is expected to be a popular event with a diverse, international audience and plenty of opportunities to network.…Read more
September 20, 2019 @ 3:00 pm – September 27, 2019 @ 12:00 pm Join ARM for a night or a week at a house in Snowdonia and have the opportunity to discuss the midwifery issu…Read more
Sent 9th May 2019 By email ( email@example.com ) Dear Sir, I write in response to the opinion piece by Barbara Ellen entitled “Meghan Markle’s home birth s…Read more
Download PDF MBRRACE-UK: Saving Lives, Improving Mothers’ Care MBRRACE-UK: Perinatal Mortality Surveillance report for births in 2016 www.npeu.ox.ac.uk/mbrrace-uk/reports…Read more
Download PDF Commissioners and providers across England, guided by their MVPs, are working across the country to implement sustainable Continuity of Carer models of care,…Read more