Health maintenance organizations and medical education

Abstract

Academic medical centers (AMCs) are under pressure to increase ambulatory medical education, but their capacity for such teaching is limited. Health maintenance organizations (HMOs) are a large and growing institutional setting that could participate in clinical education. Until now, relatively few HMOs and AMCs have reached agreements about teaching, because traditional suspicions have blocked collaboration. Responding to a case prepared as the basis of discussion, about 450 academics and HMO medical directors explored the barriers to and incentives for cooperation between AMCs and HMOs in clinical education. The two groups identified different issues as barriers to collaboration, leaving considerable room to negotiate agreements. AMCs, especially, need to be prepared to offer meaningful academic and financial inducements to attract HMOs to participate in teaching.

Anti-Obesity Therapy: from Rainbow Pills to Polyagonists

“…A series of CNS-related adverse events such as headache, dizziness, fatigue, and nausea have been linked to Lorcaserin treatment. Supporting the notion that the brain plays a seminal role in glycemic control, coadministration of Lorcaserin with metformin or sulfonylureas potentiates the ability of the antidiabetic agents to improve HbA1c and fasting glucose levels in obese subjects with T2D (Moore, 1990). Preclinical studies have explored the prospect of combinatorial targeting of 5-HT2A/C receptors and GLP-1RAs (Anderberg et al, 2017), and it appears that the benefits of Lorcaserin can be increased in combinatorial settings.…”

The Market Pushes Education From Ward to Office, From Acute to Chronic Illness and Prevention

“…More care has moved not only to outpatient clinics but also, with pressure from insurers, into managed care group practices, with incentives to pursue disease management and prevention for cost control in individual patient care and for promised benefits to practice populations, 46,47 if not to for-profit insurers. Education, in turn, is being moved into these practice organizations, though with uncertain pedagogical attention to chronic illness care and prevention.…”

Managed care and graduate medical education: Mutual objectives, barriers, and prospects

“…Moore 13 directly assessed the barriers to collaboration between HMOs and AMCs. Approximately 450 academicians and HMO medical directors responded to a case Moore prepared designed to elicit barriers and identify incentives for cooperation between AMCs and HMOs.…”