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October 27, 1997

Physicians Who Report Health Insurance Fraud and Their Practice Type: Health Maintenance Organization vs Fee-for-Service-Reply

Author Affiliations

Philadelphia, Pa

Arch Intern Med. 1997;157(19):2270. doi:10.1001/archinte.1997.00440400122015

While it is clear that the physician respondents practicing in a staff-model HMO in our study were significantly more likely to breach confidentiality in cases of patient-initiated health insurance fraud, the reasons for their decisions are not clear. We presented 2 possible hypotheses for the differences between physicians in staff-model HMOs and physicians in other practices; Salom presents an alternative hypothesis. It is clear that further work will be required to determine the reasons for differences among physicians in different practices.

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