State legislatures are gradually changing the care that patients potentially receive from health maintenance organizations (HMOs). What is one means by which this improvement has occurred?

Question

Quizplus · Accepted Answer

Rationale 1: Allowing patients to successfully bring suit against HMOs has made the HMOs accountable for their practices by applying state statutes and laws that would apply to other insurance providers.
Rationale 2: States have not mandated universal coverage by HMOs.
Rationale 3: Premiums are set by the HMO and are not under the control of the state.
Rationale 4: Mandating numbers of HMOs operating with the state would not be likely to improve quality of care.

State Legislatures Are Gradually Changing the Care That Patients Potentially