Advocacy – Pushing Your Own Agenda, On You

In decades past, a primary role of health and human service organizations was advocacy. Organizations that wanted to provide services were paid based on their costs by government and health insurers. And a big focus of executive talent was advocacy for consumers and for service funding.

In the seventies, the advent of health maintenance organizations (HMO) and managed care (see Health Maintenance Organization And The HMO Act Of 1973 and Health Maintenance Organization Act of 1973 - Social Security) brought a new view to how best to manage health care services. The introduction of "medical necessity” and “clinical appropriateness" and "fee . . .