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How managed care can be ethical
Health Affairs (Project Hope)
|July 21, 2001
Summary
The managed care problem is an ethical issue stemming from shifting healthcare from patient-centered to population-centered. The BEST project identified exemplary ethical strategies within managed care organizations to address these challenges.
Area of Science:
- Healthcare Ethics
- Managed Care Systems
- Health Policy
Background:
- Managed care growth in the US faces increasing public criticism.
- The
- managed care problem
- is often framed as protecting patients from corporate interests.
- A shift from patient-centered to population-centered healthcare models is occurring.
Purpose of the Study:
- To reframe the
- managed care problem
- as an ethical dilemma.
- To identify and share innovative, ethical strategies within managed care organizations.
- To provide a framework for improving the healthcare system.
Main Methods:
- The BEST (Best Ethical Strategies for Managed Care) project engaged nine managed care organizations.
- Intractable problems were identified and redefined as ethical dilemmas.
- Exemplary approaches to these ethical dilemmas were studied.
Main Results:
- Nine managed care organizations participated in the BEST project.
- Ethical dilemmas within managed care were identified and analyzed.
- Innovative and exemplary ethical strategies were documented.
Conclusions:
- The
- managed care problem
- is fundamentally an ethical conflict of values.
- Sharing exemplary ethical strategies can help other organizations and policymakers.
- Adoption of these strategies can improve the overall healthcare system.
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