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Organizing for effective managed care contracting.

T Mayer1

  • 1Institute for Healthcare Advancement, 16171 Santa Barbara Lane, Huntington Beach, CA 92649, USA. mayerandmayer@msn.com

The Journal of Medical Practice Management : MPM
|April 25, 2001
PubMed
Summary
This summary is machine-generated.

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Physicians will continue practicing within fixed healthcare budgets due to economic realities. Despite backlash, managed care

Area of Science:

  • Healthcare Economics
  • Health Policy Analysis

Background:

  • Managed care arrangements face ethical and fairness debates.
  • Physicians are increasingly practicing within fixed healthcare budgets.

Purpose of the Study:

  • To analyze the pervasive nature and future inevitability of managed care in healthcare.
  • To contextualize the backlash against managed care within its growing prevalence.

Main Methods:

  • Analysis of current healthcare insurance market trends.
  • Examination of managed care's penetration into commercial, Medicaid, and Medicare programs.

Main Results:

  • Managed care dominates commercial insurance and is expanding in Medicaid.
  • Managed care is central to Medicare cost-control strategies (Medicare+Choice).

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Conclusions:

  • Managed care's integration into healthcare economics is irreversible.
  • The current backlash reflects managed care's pervasiveness, not an existential threat.