Business Services Industry

Managed care firm ties health account to HMO; Plan design combines traditional gatekeeper model with upstart cost-cutting strategy.(News)(Health Net Inc)

Business Insurance, June, 2007 by Wojcik, Joanne

Byline: JOANNE WOJCIK WOODLAND HILLS, Calif.-In an acknowledgement that the consumerism movement could help reduce health plan costs, a health maintenance organization has created a hybrid product that combines the preventive care focus of a traditional HMO with the financial incentives and health education tools of a consumer-driven health plan.

Believed to be the first product of its kind, according to health plan experts, Health Net Inc.'s Optimizer HMO, which was introduced to employers with at least 51 employees in the California market earlier this month, is a traditional HMO combined with an employer-funded health reimbursement arrangement that plan members can tap to make copayments and pay any other out-of-pocket costs using a special debit card (see...

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