HMOs need to share gains of DM programs. Physician are more likely to buy in if they see better outcomes--and financial rewards that go with them.

Perhaps nowhere in medicine does the friction between physician and HMO translate into lost revenue more noticeably than in disease mnagement, where lack of doctor buy-in is a perennial complaint. The author, a former medical director knowledgeable about all aspects of DM, offers two methods by which health plans can overcome this obstacle.