Select a major HMO that owns and operates its own outpatient clinics (staff model) and complete the following:
- How does a patient get admitted to a hospital from the HMO?
- Which departments are involved with any aspects of the decision to admit a patient to a community hospital?
- Who determines the length of stay?
- Who, by annual percent, are the major insurers of admitted patients?
- What role will costs play in determining the optimum performance of this major HMO in the future?
- Which healthcare delivery model is likely to prevail in the future, keeping in mind the costs and patient accountability for this major HMO?
- Which professional associations should be invited to participate in a fact-finding task force to provide suggestions for the optimum performance of this major HMO in the future? Why?
- How can the major HMO's management be used to support changes within the industry?
Submit your brief as a 3- to 4-page Microsoft Word document