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Thread: HMO Issues

  1. #1
    amyche is offline Newbie 510 points
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    HMO Issues

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    Hi Everybody,
    I have seen this questions floating around and I was just wondering your thoughts on this issue! any answers will be appreciated!
    Thanks

  2. #2
    jim
    jim is offline Elite Member
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    can you be more vague?

    HMOs suck. you dont want to have one, you dont want to get paid by one. pretty much sums it up. where i work, we have very few, and since i do inpatient only, in reality, i dont need to worry about them.

  3. #3
    amyche is offline Newbie 510 points
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    i am not trying to be vague, being that i don't know almost anything about that's why am asking people's opinion about it.

    thank you for your answers!

  4. #4
    doc20 is offline Member 510 points
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    if you dont know anything about it, asking peoples opnions about the issue is not going to help you educate about the definition of HMO
    go search on google, wikipedia it, learn about the basics and then when you ready start asking questions!!!!!
    if you want an smart answer ask a smart question

  5. #5
    ndfrspd is offline Junior Member 510 points
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    when they ask this question, do they mean our opinion of it in regards to the patient? or our probable opinion if we were practicing physicians?

  6. #6
    amyche is offline Newbie 510 points
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    Quote Originally Posted by ndfrspd View Post
    when they ask this question, do they mean our opinion of it in regards to the patient? or our probable opinion if we were practicing physicians?


    it was to be both, as a patient and as a physician, didn't want to get a biased opinion from either side, but it doesnt matter anyway. thank you anyway i asked other people (from both side) and i got answers.

  7. #7
    thezohan's Avatar
    thezohan is offline Member 510 points
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    Quote Originally Posted by jim View Post
    can you be more vague?

    HMOs suck. you dont want to have one, you dont want to get paid by one. pretty much sums it up. where i work, we have very few, and since i do inpatient only, in reality, i dont need to worry about them.

    HMOs = Higher insurance costs for patients & less income for doctors

    Everyone loses.

    Learn about it. Make an informed decision, and never work for an HMO!!
    [Hidden Content ] Semesters 1 & 2

  8. #8
    Macgyver1MD's Avatar
    Macgyver1MD is offline Senior Member 535 points
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    HMO's were a good idea if everyone was honest and played by the rules. But they don't, and so the ins. companies raise premiums to offset the people abusing it. Everyone looses.

    Ex
    HMO's give you a set amount of money per patient enrolled with your group. If you take on 1000 patients of the HMO, you get X dollars. You use that money + copays to PAY FOR ALL MEDICAL VISITS for the patients that month. So its in the interest of the Dr to be efficient and solve the pts. problems and not have return visits, to limit costs. The pt gets good care because their managed with the most efficient care in mind that works. If you pt goes to the hospital you get a chunk of your yearly bouns CUT from a pool thats set up at the beginning of the year. So you want to keep your pts OUT of the hospital unless they need it. Again in an ideal world, it saves everyone money.


    Then come the vultures...
    Who take on 5000 pts a month. They send them all to the ER and pocket the large monthly check and say screw the bonus. They are getting 5X the mony a month the GOOD Drs. get by taking on HUGE patient lists and providing crappy care.

    so the ins. companies raise premiums and offset the vultures.. and we all pay for it.
    PGY-Attending Hidden Content FP

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