HMO plan performance update: an analysis of the literature, 1997-2001

Health Aff (Millwood). 2002 Jul-Aug;21(4):63-86. doi: 10.1377/hlthaff.21.4.63.

Abstract

This paper synthesizes results from peer-reviewed literature published from 1997 to mid-2001, on various dimensions of health maintenance organization (HMO) plan performance. Results from seventy-nine studies suggest that both types of plans provide roughly comparable quality of care, while HMOs lower use of hospital and other expensive resources somewhat. At the same time, HMO enrollees report worse results on many measures of access to care and lower levels of satisfaction, compared with non-HMO enrollees. Quality-of-care results in particular are heterogeneous, which suggests that quality is not uniform--that it varies widely among providers, plans (HMO and non-HMO), and geographic areas.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cost Control
  • Efficiency, Organizational*
  • Health Maintenance Organizations / economics
  • Health Maintenance Organizations / organization & administration
  • Health Maintenance Organizations / standards*
  • Health Services Accessibility
  • Humans
  • Patient Satisfaction
  • Peer Review, Health Care
  • Preventive Health Services / economics
  • Preventive Health Services / organization & administration
  • Preventive Health Services / standards
  • Quality Indicators, Health Care*