Former New York Mayor Ed Koch made himself nationally famous by asking, "How'm I doin'?" Today, an HMO asking that of physicians and hospital administrators would be greeted with a lot of shrugged shoulders. Of 300 physician groups and hospitals in major HMO markets surveyed about health plans' reporting instruments, doctors were slightly less charitable than hospitals toward HMOs; providers want more data from health plans to help them manage risk. Those asked say HMOs' internal processes also leave something to be desired.

SOURCE: 1998 MANAGED CARE INDICATOR, EVERGREEN RE, STUART, FLA., 1999