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HMO Enrollment In Decline; PPOs Capture 48% of Market

ENROLLMENT IN THE NATION’S HMOS has declined in each of the last two years. Experts now believe the heyday of the classic closed-panel, gatekeeper model of the HMO has ended. “HMOs are in full retreat,” observed Bryant Armstrong, a healthcare consultant in the Dallas office of Hewitt Associates. “They are not dead by any means. …

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