oh yeah.....the new and improved HMOs......the start line for rationing....
remember how everybody just LOVED the HMOs.....?
Despite bending the cost curve in the '90s, HMOs weren't accountable for quality. The new delivery models (which focus on health care providers, not HMOs) are. Indeed, these providers' reimbursement isn't just linked to health outcomes, it's linked to patient experience survey measures. And the early results from the flagship models are promising.
Looks like we don't need to boot grandma off of Medicare, sorry to spoil the fantasy.