HSM546 Course Discussions Week 2

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HSM546 Course Discussions Week 2
The primary function of an HMO is the efficient management of healthcare resources…

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HSM546 Course Discussions Week 2

HSM546 Course Discussions Week 2

All Students Posts – 81 Pages 

Health Maintenance Organizations – 42 Pages 

Let’s begin this thread focusing on HMOs. When I think about HMOs, the first name that pops into my head is Kaiser.  The primary function of an HMO is the efficient management of healthcare resources. A doctor’s primary function is the medical care of the individual patients. So, how can this relationship which appears to be at odds with each other sometimes, provide quality healthcare for patients especially in a closed panel HMO structure?  HMOs are often vilified for denying benefits but surely HMOs provide some benefit to society. Any takers on this one? Who will speak for the HMO?  If you could be the CEO of one or the other, which would you choose and why?  Now let’s think about integrated healthcare delivery systems.  What are some examples?

Governance of Managed Care Organizations – 39 Pages 

This week we discuss TCO B.  Does ownership of the HMO affect management strategies?  What about utilization outcomes?  Do members of the board owe a fiduciary duty to members of the organization? But before we can answer this question what is a fiduciary duty?  Ever wonder who are members of boards? I chose HCA which is a Nashville based company.  Find anything interesting to share?  So if a member breached one of these duties, could the member be held personally liable? Let’s look at duty of care.  Ever hear of D&O?…