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Business Council members have been mailed a new "HMO Report Card" produced
by business to help employers evaluate and choose HMOs that offer health-care
benefits to employees.
The report card was developed by the New York State Health Accountability
Foundation, a consortium of employers committed to value in health care.
The report card evaluates all commercial HMOs in New York based on a
series of performance measures that address access, service, prevention
of illness, and care for sick patients. It includes information on both
consumer satisfaction and clinical performance.
The report card compares each HMO's performance against state and national
average performance rankings.
Included in the report card is a section on questions employers should
ask HMOs. This section helps employers evaluating HMOs frame questions
about pharmacy benefits, provider networks, out-of-network reimbursement,
and coverage issues.
For additional free copies of the report card and information about
the New York State Health Accountability Foundation, contact John McGrath,
M.D., 1979 Marcus Avenue, Lake Success, New York 11042, or call 516/326-7767.
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