Three hundred sixty-five days post-HMO.

Abstract

Carolina Medical Care was conceived as a physician-owned HMO. Two-and-a-half years later, it was declared insolvent and shut down. As a founding member of the HMO, a third of its 15,000 patients were capitated to the Mecklenburg Medical Group. This case study examines the efforts to keep those patients following dissolution of the HMO.