4:00 p.m. PT, 7 p.m. ET.
HMOs and Risk-shifting Schemes in Single-payer Proposals
Speaker: Stephen Kemble, MD
Dr. Kemble is chair of the OPS Policy Work Group. He is an Assistant Clinical Professor of both Medicine and Psychiatry at the University of Hawaii School of Medicine and past president of both the Hawaii Psychiatric Medical Association and the Hawaii Medical Association. He is a member of the Hawaii Health Authority, charged with overall health planning for the State of Hawaii
Topic: Health maintenance organizations, accountable care organizations, and integrated delivery systems all shift risk to providers of care. They guarantee the continued existence of multiple risk pools and perpetuate the competitive insurance business model with its perverse incentives to deny care and “cherry-pick” the low-risk and “lemon-drop” the high-risk patients and populations. The discussion focuses on how to prevent favorable risk selection and unfavorable risk avoidance within a single-payer system.
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When: Jul 13, 2021 04:00 PM Pacific Time (7:00 p.m. ET)
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