Managed Care

Where's the growth? In HMOs and point-of-service plans

For all the rapid change in health care in the 1990s, some things will remain unchanged from 1990 to 2000, according to one recent analysis. The percentages of the market claimed by preferred-provider organizations and — perhaps surprisingly — by unmanaged fee-for-service medicine will finish the decade about where they started it, the analysis suggests. But HMOs and point-of-service plans, which give members the option of seeing out-of-network providers if they pay somewhat more, will have registered big gains by the turn of the century at the expense of the "managed fee-for-service" category, which includes traditional indemnity plans with some precertification requirements.

SOURCE: NATIONAL COMMITTEE FOR QUALITY HEALTH CARE, WASHINGTON, D.C., BASED ON DATA FROM THE AMERICAN ASSOCIATION OF HEALTH PLANS, WASHINGTON, D.C.; THE HEALTH INSURANCE ASSOCIATION OF AMERICA, WASHINGTON, D.C., AND LEWIN-VHI HEALTH CARE CONSULTANTS, FAIRFAX, VA.

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