Article1987

A National Health Program for the United States

David U. Himmelstein · Steffie J. Woolhandler

171 citations0/0 files storedAnnals of Internal Medicine

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Healthcare Policy and Management Healthcare Systems and Reforms Healthcare cost, quality, practices

Abstract

Letters and Corrections1 May 1987A National Health Program for the United StatesDAVID U. HIMMELSTEIN, M.D., STEFFIE WOOLHANDLER, M.D., M.P.H.DAVID U. HIMMELSTEIN, M.D.Search for more papers by this author, STEFFIE WOOLHANDLER, M.D., M.P.H.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-106-5-783_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn her thoughtful article on health maintenance organizations (HMOs) and elderly persons, Gillick (1) cites our study (2) to support the notion that HMOs save money on administration. Our report documented that administration accounts for 22% of health spending in the United States, compared with 8% in Canada, and 6% in the United Kingdom. We are unaware of any evidence indicating that HMOs are currently cheaper to administer than is fee-for-service medicine. Administrative costs of HMOs may in fact be higher because of the rising costs of marketing and the amount of bureaucracy that is needed both to exclude patients...References1. GILLICK M. The impact of health maintenance organizations on geriatric care. Ann Intern Med. 1987;106:139-43. LinkGoogle Scholar2. HIMMELSTEINWOOLHANDLER DS. Cost without benefit: administrative waste in U.S. health care. NEnglJMed. 1986;314:441-5. CrossrefMedlineGoogle Scholar3. WAREBROOKROGERS JRW. Comparison of health outcomes at a health maintenance organization with those of fee-for-service care. Lancet. 1986;1:1017-22. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: The Cambridge Hospital, Harvard Medical School Cambridge, MA 02139 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1987Volume 106, Issue 5Page: 783-783KeywordsElderlyHealth maintenance organizations Issue Published: 1 May 1987 PDF DownloadLoading ...

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1983Does Free Care Improve Adults' Health?1981Some Interim Results from a Controlled Trial of Cost Sharing in Health Insurance 1986COMPARISON OF HEALTH OUTCOMES AT A HEALTH MAINTENANCE ORGANISATION WITH THOSE OF FEE-FOR-SERVICE CARE 1986Cost without Benefit 1986Termination of Medi-Cal Benefits

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