Article: Working the HMO System

There is a new realism developing about belonging to a health maintenance organization. Some HMO members call itdisappointment.

Many-just over half of 460 area readers who wrote us in recent weeks-are wholly or mainly satisfied with their HMO. But about one in 10 has mixed feelings, and just over a third are wholly or mainly dissatisfied.

Like people who go to other doctors, many HMO members are finding they must look out for themselves. They often must ask for, and sometimes demand, the care they believe they have coming. They sometimes must fight for it.

HMOs nonetheless work for many people. And for some people more than others. They seem to have learned to "work the system." They ...

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