We focus on a number of topic areas identified by state health policy leaders as important to population health.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
June 1990 (Volume 68)
June 1990 | W. Pete Welch, Alan L. Hillman, Mark V. Pauly
The evolution of health maintenance organizations (HMOs) has entailed changes in both their structural characteristics and incentives to attract physicians’ participation. Previous classifications of HMOs have failed to capture explicitly key features of these changes. Two alternative typologies based on incentives or organizational structures may be constructed by examining precise forms of two- or three-tiered contractual arrangements, physicians’ payment methods, clienteles served, and means of pooling risks. Classifications of these kinds may represent or aid in generating a valid typology to help managers, consumers, providers, and analysts understand better how HMOs operate and which factors are critical in the dynamic managed-care industry.
Author(s): W. Pete Welch; Alan L. Hillman; Mark V. Pauly
Download the Article
Read on JSTOR
Volume 68, Issue 2 (pages 221–243) Published in 1990
Previous article
Philosophical Origins of the Social Rate of Discount in Cost-Benefit Analysis
Next article
The Poor, the Rich, and the Insecure Elderly Caught in Between
