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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HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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