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June 1990 (Volume 68)
W. Pete Welch
Alan L. Hillman
Mark V. Pauly
Milbank Memorial Fund
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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
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Volume 68, Issue 2 (pages 221–243) Published in 1990
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.