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Correspondence
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Volume 328:1501-1502 May 20, 1993 Number 20
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HMOs and Physicians without Board Certification

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To the Editor: The practice by health maintenance organizations (HMOs) of demanding board certification of participating physicians has become an important factor influencing access to health care in Massachusetts and the rest of the United States.

When managed care first appeared, HMOs enlisted physicians and then used these rosters to market their plans. Concurrently, they developed credentialing criteria, which typically included information on training and licensure, board certification, and malpractice experience. Then HMOs began to emphasize in their marketing that they had only board-certified physicians on their panels, implying that this restriction defined a better plan.

As managed care has . . . [Full Text of this Article]

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