To the Editor.—
In response to the recent article, "Evidence for Self-Selection Among HMO Enrollees,"1 The National Industry Council for HMO Development would like JAMA's readers to be aware that it is addressing this issue to obtain more conclusive data.The council comprises 35 employer, labor, financial, and health industry executives and was formed in 1978 to assist the further growth and development of health maintenance organizations. It believes that the issue of adverse selection toward any form of health plan is a serious question. In fact, the council deliberated this topic during its September 1983 meeting in Nashville. Dr Jackson-Beeck was among several persons invited to present their views.The conclusion of the council work group on this topic is that the data thus far available are inconclusive and not sufficient for policymaking by employers and other purchasers of medical care. The survey by Jackson-Beeck and Kleinman
Shelton J. Use of HMOs. JAMA. 1984;252(15):2006. doi:10.1001/jama.1984.03350150012006
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