About My Health Careers Internship MedBlogs Contact us

Community Insurance Co-ops, Medical Homes Offer Models For Reform

by VR Sreeraman on August 7, 2009 at 12:36 PM
Font : A-A+

 Community Insurance Co-ops, Medical Homes Offer Models For Reform

Communities with nonprofit health insurance co-ops or a system of patients having "medical homes' could be useful models in a national health care overhaul.

The United Agricultural Benefit Trust, is "cooperative based in Irvine that provides insurance to about 15,000 Californians and Arizonans mostly working in agriculture," The Los Angeles Times reports. The small co-op "has found itself in the national spotlight as a model for a proposed co-op option consumers could consider along with private insurers."


The Trust "works like a commercial insurer, negotiating rates with a network of doctors and hospitals, but it is owned by its members." Proponents of the model "say co-ops offer better service and are cheaper because they don't have to turn a profit. But critics say co-ops, which are not as tightly regulated as other insurance providers, are susceptible to insolvency and would not work on a large scale" (Hennigan and Linthicum, 8/6).

The "medical home" model has been cited as a way to "reinvent primary care medicine and reward doctors who practice preventive care," NPR reports. Dr. Jay Fathi, director of primary care at the Swedish Medical Center in Seattle," says, "under the current health care system, doctors 'see as many patients as you humanly can in a day and charge the insurance company as much as you can per patient.'" But in a medical home, doctors "see fewer patients in a day and focus on keeping them healthy — even bonding with them — and in return," are paid more.

Patients who have no insurance can pay a flat monthly fee at the Seattle clinic, which covers everything that can be done in this office, including most basic tests. ... Being accessible during off hours, via phone or e-mail, may also reduce the number of emergency room visits. If it does, it'll save money for the insurance companies, so they'll pay doctors a bonus the following year. Insurers will also pay bonuses for keeping patients healthy" (Seinfeld, 8/5).

Source: Kaiser Health News

News A-Z
News Category
What's New on Medindia
Can Adjusting Fatty Acid Intake Improve Mood in Bipolar Disorder Patients?
Insulin Resistance Doubles the Risk of Major Depressive Disorder
Emotional Healing
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Star Health and Allied Insurance ICICI Lombard General Insurance Company Limited Health Insurance - Ombudsman Health Insurance - Basics New India Assurance Policies Awareness about Healthcare Insurance in India Premium Calculation by Health Insurance Companies Fraudulent Health Insurance Claims Key Procedures for Filing a Healthcare Insurance Claim Latest on The New India Assurance Company Ltd 

Recommended Reading
Barack Obama Outlines Health Care Reform Goals
President Barack Obama urged Congress Saturday to move ahead on health care reform, arguing that ......
Obama's Historic Drive To Overhaul US Health Care
US President Barack Obama's historic drive to overhaul US health care hit a speed bump this week ......
Public Health Insurance Option is Viable, Says Obama
President Barack Obama on Wednesday said he was open to the idea of a public funding of health ......
Healthcare Crisis As Indiana’s Uninsured Rises
Indiana's federally subsidized health centers are staggering....
Awareness about Healthcare Insurance in India
A basic awareness about Indian health insurance for any layman for quick reference presented in a cr...
Fraudulent Health Insurance Claims
To educate the public regarding hazards of committing fraud in healthcare insurance claims and its i...
Health Insurance - Basics
Health insurance guarantees payments to a person in the event of sickness or injury.and works as pr...
Health Insurance - Ombudsman
Insurance Ombudsman institutions work for the purpose of quick disposal of the grievances of the ins...
ICICI Lombard General Insurance Company Limited
Major health care plans from the ICICI Lombard include complete health insurance ihealth plan, perso...
Key Procedures for Filing a Healthcare Insurance Claim
keep yourself well informed about the claim process and avoid frustration of your claim getting ......
New India Assurance Policies
The existing Mediclaim and Health Plus Medical expenses policies have been discontinued and Mediclai...
Premium Calculation by Health Insurance Companies
This article gives an insight as to how healthcare insurance policy premiums are collected by Insura...
Star Health and Allied Insurance
Star Health & Allied Insurance offers a convenient insurance for the corporate people when they tra...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use