SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Biotech / Medical : Agouron Pharmaceuticals (AGPH)
 Public ReplyPrvt ReplyMark as Last ReadFilePrevious 10Next 10PreviousNext  
To: cherry grove who wrote (2805)11/15/1997 5:18:00 PM
From: Oliver & Co  Read Replies (1) of 6136
 
Cherry, I wished the problem was that simple. When you are enrolled in an HMO, you can only go to the pharmacies that they contract with, and can only get the meds on their formulary. But the problem is made much worse because you need a doctor who knows what he is doing to order the drugs. MCO's get around the requirement of providing care by not offering carved out contracts who Primary Care Hiv Physicians, eg: if I wanted to see HIV patients for Humana, I would have to get a Primary Care Contract, and see any patient who was sent since they "could not" guarantee me that only HIV patients came because they have not made a carve out. If, on the other hand I got a Specialist contract, that would mean I would only see patients when they were referred for only as many visits as they approve (usually 1 or 2), and only to really render an oppinion.

Thanks,

JLL
Report TOU ViolationShare This Post
 Public ReplyPrvt ReplyMark as Last ReadFilePrevious 10Next 10PreviousNext  

HomeMailHotSubjectMarksPeopleMarksKeepersSettings
Terms Of UseContact UsCopyright/IP PolicyPrivacy PolicyAbout UsFAQAdvertise on SI
© 2025 Knight Sac Media.  Data provided by Twelve Data, Alpha Vantage, and CityFALCON News