Extreme Risk — The New Corporate Proposition for Physicians

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Abstract
Our own contracts with one health maintenance organization (HMO) state: “Physician shall agree not to take any action or make any communication which undermines or could undermine the confidence of enrollees, potential enrollees, their employers, their unions, or the public in U.S. Healthcare or the quality of U.S. Healthcare coverage,” and “Physician shall keep the Proprietary Information [payment rates, utilization-review procedures, etc.] and this Agreement strictly confidential.”This 2.4 million-member plan spends only 74.4 percent of its revenues on medical care; $1 million a day goes to profits, adding to its $1.2-billion cash reserve.1 Its chief executive officer pocketed $20 . . .