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NAVIGATION
PNHP RESOURCES

The Corporate Compromise: A Marxist View of Health Maintenance Organizations and Prospective Payment

By David U. Himmelstein, M.D., and Steffie Woolhandler, M.D., M.P.H.
Annals of Internal Medicine, Sept. 15, 1988

Corporate providers' request for increasing revenues has brought them into conflict with corporate purchasers of care, whose employee benefit costs have skyrocketed. This intercorporate conflict powerfully shapes health policy and has caused the rapid proliferation of health maintenance organizations (HMOs) and other forms of prospective payment.

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