Tell me what percentage of your revenue actually goes to treat patients as compared with marketing, administration and profit. Describe how you decide what drugs to provide for your patients. I need to be sure that I can get the best drug for my particular medical problem. Most HMOs have formularies, which are lists of the prescription drugs approved for use by their physicians. Physicians are often pressured to prescribe only the drugs on the formulary, and in some cases pharmacies are given bonuses to switch a prescription to the cheapest drug available.
Formulary drugs can be of three types.
Access to Specialists. Tell me how you decide when I get to see a specialist. Give me an easy way to let you know what I think about the quality of care your staff provides. Reward those who get high ratings. Describe to me how I will get prompt care in a medical emergency.