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Does managed care mean more hassle for physicians?

D K Remler1, B M Gray, J P Newhouse

  • 1Division of Health Policy and Management, Joseph L. Mailman School of Public Health, Columbia University, New York, NY 10032, USA.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|December 9, 2000
PubMed
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This study found that managed care techniques do not significantly increase physicians' administrative and insurance burdens. Contrary to popular belief, the impact varies, with only salary payment showing a notable effect.

Area of Science:

  • Health Services Research
  • Medical Economics
  • Physician Administration

Background:

  • Physician administrative and insurance burdens are a growing concern in healthcare.
  • The impact of managed care on these burdens is widely debated.
  • Understanding these effects is crucial for healthcare policy and practice.

Purpose of the Study:

  • To investigate the relationship between exposure to various managed care techniques and the time physicians spend on administrative and insurance tasks.
  • To determine if managed care significantly increases physicians' administrative and insurance burdens.

Main Methods:

  • Utilized data from a 1995 nationally representative physician survey.
  • Measured managed care exposure through various techniques like utilization review, capitation, and restricted panels.

Related Experiment Videos

  • Analyzed the correlation between managed care exposure and reported hours spent on administrative/insurance matters.

    • Main Results:

    • Physicians reported spending an average of 3 hours weekly on insurance and 4.8 hours on administration.
    • While managed care techniques influence these burdens, the effect's direction varied.
    • Except for salary payment, no managed care variable showed a significant economic impact on administrative/insurance burdens.

    Conclusions:

    • The study's findings challenge the common perception that managed care substantially elevates physician administrative and insurance workloads.
    • The specific forms of managed care exposure play a role in the observed effects.
    • Further research may be needed to explore nuanced impacts and policy implications.