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reply to this classmates discussion post Health Maintenance Organizations are a type of health insurance plan that tend to keep costs low by keeping their network of providers compressed and controlled. Having a limited choice of primary care providers can be frustrating for some if they have a particular doctor that they would like to go to but it is necessary to keep cost down and make premiums more affordable. Patients typically have to choose one Primary Care Physician that oversees their care, unless they need to see a specialist and in that case need a referral for further appointments to investigate their issue. Referrals can delay the diagnosis of an issue, which can be frustrating for the patient. Health Maintenance Organizations tend to spotlight preventative care to ensure their members stay healthy, rather than acquiring diseases with no idea that it is occurring. One way that access to care can be improved is if Health Maintenance Organizations were to expand their networks to more providers. Sometimes it can be difficult to get an appointment with less providers and some people can even be pretty picky on the doctor they choose. For good reason, patients sometimes need to change insurance plans and already have a relationship with their doctor and would like to continue care with them. Certain circumstances could be honored. Patients could definitely benefit to a more efficient referral process. Telehealth has seemed to work for many other insurance plans, so that could be an option to implement and use as a tool to improve access to care which also seems to
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