On the Limits of Expanding Health Care Reform: Chronic Care in Prepaid Settings

Health Maintenance Organizations have become a favored vehicle for reform of the American health care system, while controlling costs and assuring quality. But for populations with a high prevalence of chronic disease-the elderly or the mentally ill-HMOs may fall short of meeting needs. Three strategies of reform are proposed for adapting the principle of prepayment to better serve enrollees with chronic illness.

Author(s): Mark Schlesinger

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Volume 64, Issue 2 (pages 189–215)
Published in 1986