The Evolution of Health Maintenance Organizations

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dc.contributor.advisor Marcum, James Paynter, Stewart 2011
dc.description.abstract This thesis focuses on the development of Health Maintenance Organizations (HMOs) in the twentieth century. While the origins of the movement in the 1930s and 1940s are discussed, emphasis is also placed on the early 1970s and the 1990s, when HMOs proliferated at the national level, altering the spectrum of healthcare provider models in the United States. By 1999, the number of HMO enrollees in the U.S. had grown to its peak of approximately 80 million. In addition to its historical background, the overall philosophy of HMOs is studied and subsequent flaws in both HMO structure and function are examined. This last part focuses on the ethical and moral questions of HMO patient care. In examining the evolution of HMOs, cases of patient neglect and treatment shortcomings are evaluated and found to be the result of a business model designed for treating patient populations with an economically efficient remedy, rather than a treatment that is the most medically effective. en_US
dc.rights Baylor University projects are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. Contact for inquiries about permission. en_US
dc.subject HMO en_US
dc.subject Sidney Garfield en_US
dc.subject Paul Ellwood en_US
dc.subject Managed care en_US
dc.subject Health maintenance organization en_US
dc.subject Kaiser Permenante en_US
dc.title The Evolution of Health Maintenance Organizations en_US
dc.type Thesis en_US
dc.rights.accessrights Worldwide access. en_US
dc.rights.accessrights Access changed 12/16/14.
dc.contributor.department History en_US
dc.contributor.schools honors college en_US

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