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Related Experiment Videos

Managed care: a critical review.

T Peak1, A Barusch

  • 1Department of Sociology, Social Work and Anthropology, Utah State University, Logan 84322-0730, USA. tpeak@wpo.hass.usu.edu

Journal of Health & Social Policy
|October 28, 1999
PubMed
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Managed care, a dominant health care delivery system, is reshaping services for the elderly and poor. This article explores its impact on access, quality, and mental health, advocating for social work

Area of Science:

  • Health Services Research
  • Health Policy Analysis
  • Social Work Practice

Background:

  • Managed care is the predominant model for healthcare delivery in the United States, influencing both Medicaid and Medicare beneficiaries.
  • The increasing enrollment of vulnerable populations in managed care signifies a major shift in healthcare reform.
  • Understanding the evolution and implications of managed care is crucial for healthcare policy and practice.

Purpose of the Study:

  • To trace the historical development of managed care in the U.S.
  • To analyze the effects of managed care on healthcare access, quality, and equity.
  • To examine the provision of mental health services within managed care frameworks and define the role of social work.

Main Methods:

  • Historical review of managed care evolution.

Related Experiment Videos

  • Analysis of financial risk transfer to providers.
  • Examination of managed care's impact on healthcare inequalities and service quality compared to fee-for-service models.
  • Assessment of mental health service delivery under managed care.

    • Main Results:

    • Managed care significantly impacts healthcare access and potentially exacerbates existing inequalities.
    • The quality of care under managed care arrangements requires careful comparison with traditional fee-for-service models.
    • Mental health service delivery presents unique challenges and opportunities within managed care systems.

    Conclusions:

    • Managed care is the future of healthcare delivery, necessitating adaptation from providers and policymakers.
    • Social workers must play a vital role in mitigating client costs and advocating for equitable access within managed care.
    • Further research and advocacy are needed to ensure quality and fairness in managed care systems.