Integrity in managed care: a short guide

Many think ethical managed care is an oxymoron. But managed care can be more ethical--and can fulfill it's original pledge of providing broader access and better care by caring prudently--if it is physician-led. Faced with day-to-day ethical decisions that are have black and white solutions, physicians are obliged to get more involved in management decisions, create formal ethics programs, report colleagues who are unscrupulous and learn about new performance tools. Patients angry and suspicious about managed care expect no less from their physician.