Health Care System Evolution Paper - 1313 Words

Health Care System Evolution Paper This paper will discuss how HMOs have influenced current health care systems. HMOs have been able to reduce health care cost in many ways and have also faced many difficulties along the way. Many Americans years ago did not have health coverage and we are still seeing this today because of the cost of these plans. HMOs or Health Maintenance Organizations are health care plans that reduce health care cost. Members of an HMO are usually required to make a co-payment when seeing a physician. A lot of time members have a deductible they will have to pay before they are able to see their physician too. These are just some of the ways HMOs try to keep health care cost down. There are some 75 million†¦show more content†¦With a POS plan, members can use doctors who are within the network or those who are not in order to receive their care. If member do choose doctors outside their networks they will have to pay more to have those services performed. With the POS plan members must have a primary care physician. With a PPO plan members have more options over who they can see. Members do not need a primary care physician with this type of plan (What is an HMO? 2009). HMOs have been running strong for years but to remain viable they are going to have to make some changes. Considerable evidence points to physician and consumer dissatisfaction with HMO’s. Consumers are not satisfied with primary care physicians as gatekeepers, limited provider choice, physician profiling, requirement of prior approval and constraints on covered treatments (Fang, Liu, Rizzo, 2009). Studies have shown a slight decline of the insured population covered by HMOs. In 2000-2001, 55 percent of the insured population was covered and in 2003 it dropped to 51 percent (Fang, Liu, Rizzo, 2009). President Obama signed into law a new health care plan that will help many Americans. With the way things were going, many people were not able to carry health insurance and those companies that were carrying insurance had to drop coverage for many of their employees. Many doctors and big HMO companies have made a killing over the years, and want to keep doing so. That is why many did not want toShow MoreRelatedThe Evolution Of Healthcare During The United States Essay1249 Words   |  5 Pagesindustry that has representation from both public sector and private sector. The current health care system is segregated and fragmented in America. Some states have very effective and efficient healthcare system while some states lack the desired infrastructure. The evolution of healthcare system in USA can be traced back to 1750. The period from 1750 to 1849 is termed as preindustrial period where the care of sick people was primarily handled by families (Brian, 2010). 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