HOME >> MEDICINE >> NEWS
Majority of patients in point-of-service health plans never use self-referral option for specialty care

A rapidly growing trend in health insurance is the point-of-service (POS) plan, which allows members to seek specialty services for a fee without first consulting with their primary care physician, or plan "gatekeeper." However, the majority of patients enrolled in POS plans never use their self-referral option, according to a study by researchers at the Johns Hopkins University Bloomberg School of Public Health. In addition, the few patients who did self-refer reported being more satisfied with their specialist than patients who were referred to a specialist by their physician.

The study is the largest and most comprehensive analysis of POS health insurance plans in the United States. The findings, which appear in the May 2, 2001 issue of the Journal of the American Medical Association (JAMA), suggest that the self-referral option for patients does not lead to uncontrolled use of specialty health services as many managed care companies once feared.

"One of the greatest sources of consumer dissatisfaction with todays health maintenance organizations (HMO) is the perceived barrier to specialist care. Simply having the option to bypass the so-called gatekeepers of managed care seems to be enough for most people in point-of-service health plans," says Christopher Forrest, MD, PhD, lead author of the study and associate professor of health policy and management at the Bloomberg School of Public Health.

The POS plan, or open-HMO, is a combination of the traditional HMO, preferred provider network, and fee-for-service plans. POS plan members pay minimum fees for service within the network and for referrals authorized by the physician "gatekeeper." The members share of the cost increases for treatment outside the network and for self-referrals. According to the study, a family POS plan costs employers and workers an additional $635 per year compared to a traditional HMO.

For the study, the researchers analyzed data from three POS health plans which were lo
'"/>

Contact: Tim Parsons or Ming Tai
paffairs@jhsph.edu
410-955-6878
Johns Hopkins University Bloomberg School of Public Health
30-Apr-2001


Page: 1 2 3

Related medicine news :

1. Majority of cigarettes in the US smoked by nicotine-dependent or psychiatrically ill persons
2. Majority of authors retract 1998 Lancet paper-Lancet editor points to implications
3. Majority of parents schedule childs first dental visit two years too late
4. Hormonal treatment improves survival in high-risk prostate cancer patients
5. Study finds that coordinating care of chronically ill patients does not increase liability
6. Mouse model reveals potential way to reduce cardiac deaths in kidney patients
7. Optical technique identifies vulnerable plaques in cardiac patients
8. NHS target driven culture is failing patients
9. Cardiac deaths peak in sleep hours for patients with sleep apnea
10. Chronic fatigue patients show lower response to placebos
11. Depression linked to insomnia in HIV patients

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/2/2020)... ... June 02, 2020 , ... ... that has been serving the healthcare industry for more than a decade, announced ... and integrated care offerings. , In 2010, RemetricHealth, then known as PMD Healthcare, ...
(Date:5/30/2020)... MUSKOGEE, Okla. (PRWEB) , ... May 29, 2020 , ... ... the community, now more than ever, James Hodge Hyundai is offering a $500 bonus ... can take advantage of this incentive now through January 4, 2021. , To qualify ...
(Date:5/28/2020)... ... May 28, 2020 , ... With a growing number of ... student housing are scrambling to implement practices that will help reduce residents’ risk ... beds on 38 campuses across the country, has researched best practices and identified ...
(Date:5/27/2020)... ... May 27, 2020 , ... ... of Washington Professor of Bioengineering, Founder & Editor of scientific journal WATER, ... ( https://www.amazon.com/Fourth-Phase-Water-Beyond-Liquid-ebook/dp/B00N2ASKF2 ) , https://www.voiceamerica.com/episode/123059/the-fourth-phase-of-water , * , During ...
(Date:5/26/2020)... ... May 26, 2020 , ... Sex educator, activist, humanitarian, and ... Joan Price have just received the 2020 AASECT Audio Visual Award for jessica drake's ... the first of its kind to feature non-actors in its demonstrations and narratives and ...
Breaking Medicine News(10 mins):
(Date:6/3/2020)... ... June 03, 2020 , ... Kessler Foundation ... the workplace experiences of recent graduates with and without disabilities. , Kessler ... with disabilities coming of age under the Americans with Disabilities Act, signed into ...
(Date:6/3/2020)... ... June 03, 2020 , ... Axiom Medical, a ... cutting edge CheckIn2Work app, a first of its kind technology providing workplace point-of-entry ... delivers a quick and easy self-service health attestation for organizations needing to pre-screen ...
(Date:6/3/2020)... ... 03, 2020 , ... For over 50 years, Divi Resorts has been a ... hygiene protocols at all of their resorts to ensure guests enjoy healthy and ... to safeguard and protect both guests and staff and address changing consumer expectations ahead ...
Breaking Medicine Technology:
Cached News: