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Previous Volume 328:971 April 1, 1993 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the current debate on health care, the performance of health maintenance organizations (HMOs) is often touted as showing how rising health care costs can be controlled while quality of care is ensured. As a practicing physician in Minneapolis, I wish to offer a dissenting view. Public data obtained from Health Information Resources of Minnesota suggest that, to a large extent, HMOs in Minneapolis achieve savings for their plans merely by shifting costs to patients covered by private insurance, not by actually containing the costs¹. They do this by negotiating discounted rates with hospitals that may . . . [Full Text of this Article]

References

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• Bouma, B J, van der Meulen, J H P, van den Brink, R B A, Arnold, A E R, Smidts, A, Teunter, L H, Lie, K I, Tijssen, J G P (2001). Variability in treatment advice for elderly patients with aortic stenosis: a nationwide survey in the Netherlands. Heart 85: 196-201 [Abstract] [Full Text]  
• SPRIGINGS, D C (1999). Cardiac surgery in the elderly: a cardiologist's perspective. Heart 82: 123-124 [Full Text]  
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