All HMO's want to be sure that people stay healthy. Those are the words that you will find every time you see an HMO plan. If the patients are concerned about what they get under that plan, some doctors worry more about how to managed between HMO's regulations and patients' needs.Ciprian Baltoiu has the story;
HMO's are not new: they have been around since the early part of the 20th century, and evolved partly from European style.
But Europe is far away and here, year after year,there's a chorus of complains about HMO's.
So what's the best part of an HMO from the doctor's perspective?
H.J. Murrell is a radiation oncologist in Columbia and Jefferson City.
Murrell says there are also problems with HMO's.
Doctors are assigned to a certain plan by a panel of other physicians...but sometimes those relationships don't work out.
Murrell says the main problem when someone chooses an HMO plan is access to information.
Sometimes it's very hard to understand everything what is written in a contract.
It's important to known what you're HMO plan covers when you sign the agreement.
You'll be surprised to find that your HMO may not pay to fix a broken leg or a broken arm unless you first go to your primary care physician.
This kind of thing causes patient complaints....which go to the Department of Insurance. The department has some regulatory authority over HMOs.
Randy McConnell is with Missouri's Department of Insurance:
With such problems it's no surprise that some patients and even doctors decide to leave HMO's. But why does a doctor decide to leave an HMO plan and how often does it happen? C C Swarens executive vice-president of Missouri State Medical Association:
Choosing health-care coverage has became an annual ritual for most Americans.An HMO need to have an adequate number of caring ,honest , and competent primary-care doctors.Also for doctors an HMO plan must offer them more flexibility to care for patients needs.
From The State Capitol I'm Ciprian Baltoiu