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June 1982 (Volume 60)
June 1982 | Harold S. Luft
Most evidence indicates that the poor in HMOs utilize services to about the same extent as do middle-class enrollees. Early experience in California, however, cautions that abuse can result in substantial underservice, fraud, and poor quality; appropriate incentives and safeguards must be incorporated in public policy. Increased competition in medical care delivery may lead to improved efficiency, but it may also lead to increased emphasis by both HMOs and other insurers on selective marketing, experience rating, cost shifting, and other practices with adverse consequences for the poor, the elderly, women, and the sick.
Author(s): Harold S. Luft
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Volume 60, Issue 2 (pages 268–306) Published in 1982
Certificate of Need and Low Capital-Cost Medical Technology
Community Health Centers: An Initiative of Enduring Utility
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