Our findings indicate a substantial need for language services for both commercial and public HMO members. Publicly-insured HMO members are generally offered more language services than their commercial counterparts. However, commercial HMOs have been inconsistent in offering such services across types of coverage despite the fact that HMOs receive federal funds and are required to provide lang...

BACKGROUND The accountable care organization (ACO) is a new organizational form to manage patients across the continuum of care. There are numerous questions about how ACOs should be optimally structured, including compensation arrangements with primary care physicians. METHODS Using data from a national survey of physician practices, we compared primary care physicians' compensation between ...

OBJECTIVES To identify and describe constraints facing the development and dissemination of technologies appropriate for public health care challenges and solutions in the developing world. METHODS Review of lessons learned in development and introduction of numerous health technologies as experienced by a non-profit organization working on technologies for 25 years. RESULTS Many obstacles ...

This article identifies the impact of managed-care reforms on the utilization of medical services within the military health-services system. The data come from a recent demonstration project that substituted an HMO and PPO for traditional FFS arrangements. Results from a semiparametric model indicate that the generosity of benefits in the HMO increased demand for ambulatory services. Unlike...