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The effect of increasing clinical autonomy in workers' compensation
1Department of Health Systems Management, Rush University, Chicago, USA.
Abstract:
Many health plans are shifting to less-restrictive managed care options that increase provider and consumer autonomy. Although intended to improve satisfaction and quality, the effect of these changes on utilization and expenditures is not yet known. Evidence from changes increasing clinical autonomy in a statewide workers' compensation system may be illustrative for managed health care plans as to how these changes may result in costly and unintended consequences.