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Public Affairs, Public Policy and Public Administration

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Himmelfarb Health Sciences Library, The George Washington University

2011

Hospitals

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Post-Hmo Health Care: Are Acos The Answer?, Zachary F. Meisel, Jesse M. Pines May 2011

Post-Hmo Health Care: Are Acos The Answer?, Zachary F. Meisel, Jesse M. Pines

Health Policy and Management Informal Communications

"Remember the 1990s" retrospective lists always include Nirvana, Monica Lewinsky and Wayne's World, but leave out another major product that defined American life in the '90s: the health maintenance organization, or HMO — that nefarious health-insurance plan that seemed expressly designed to prevent you from seeing the doctor of your choice or receiving the treatments recommended by doctors, all under the guise of lowering costs and "improving" medical care. Of course HMOs are still around, but they are no longer central to the national discussion on health care. Why? For the most part, HMOs have eased limits on patient choice …


An Overview Of The Administration's Aco Policy: Opportunities And Challenges, Sara J. Rosenbaum May 2011

An Overview Of The Administration's Aco Policy: Opportunities And Challenges, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

For nearly a century, proponents of health reform have advocated for greater clinical integration to improve quality, promote efficiencies, and control costs. A seminal 1932 report issued by the Committee on the Costs of Medical Care called for the provision of care through group practice arrangements as part of a broader set of recommendations that included universal coverage, extension of public health services to the entire population, and a major investment in health professions education. Resistance to its findings was a key factor in convincing the Roosevelt Administration to abandon national health insurance in the original Social Security Act.