Biomedical subjects
Publications and source records attributed to E Monfiletto.
Consumer awareness of a health plan is the direct result of name recognition and overall health plan identity. After many name changes and transitioning ownerships, Greater Atlantic Health Service found that its membership was waning, and a lack of consumer awareness of the HMO was a substantial part of the problem.
A major customer of a health maintenance organization (HMO) demands more accountability and a drastic reduction in pricing. The crisis creates an opening for the management of a physician-sponsored HMO to make substantial improvements in its managed care capabilities. The article outlines practical strategies and tactics to meet the customer's demands and seize the opportunity to change.
The integration of the Medicaid population into a commercial health plan will present numerous delivery, logistical, and administrative challenges for many of the nation's HMOs. The author highlights some of the changes that may be necessary for HMOs to successfully adapt to and address the needs of these new customers.