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Related Experiment Videos

Managed care spillover effects.

Laurence C Baker1

  • 1National Bureau of Economic Research and Department of Health Research and Policy, Stanford University, Stanford, California 94305-5405, USA. laurence.baker@stanford.edu

Annual Review of Public Health
|December 10, 2002
PubMed
Summary
This summary is machine-generated.

Managed care

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Area of Science:

  • Health Services Research
  • Health Economics

Background:

  • Managed care's influence extends beyond enrolled patients.
  • Potential for widespread health system restructuring exists.

Purpose of the Study:

  • To summarize mechanisms of managed care's broad effects.
  • To review empirical evidence on system-level impacts.

Main Methods:

  • Literature review of managed care's effects.
  • Analysis of market service availability.
  • Examination of physician practice pattern changes.

Main Results:

  • Managed care influences health care spending and utilization.
  • Evidence supports generalized effects on health infrastructure.
  • Impacts on health outcomes remain unclear.

    • Conclusions:

    • Managed care significantly alters health care systems.
    • Broader system changes affect all patients.
    • Further research needed on health outcome effects.