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Managed care: an opportunity for osteopathic physicians

B Ross-Lee1, M A Weiser

  • 1Ohio University College of Osteopathic Medicine, Athens 45701-2979.

The Journal of the American Osteopathic Association
|February 1, 1994
PubMed
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Managed care organizations (MCOs) are central to healthcare reform, enrolling millions. Primary care physicians should lead the transition to a practitioner-friendly system, advocating for patients within managed care.

Area of Science:

  • Healthcare Management
  • Health Policy
  • Primary Care Medicine

Background:

  • Managed care enrollment has surged dramatically in the US over five years.
  • Major healthcare reform proposals center on managed care organizations (MCOs).
  • The landscape of MCOs includes health maintenance organizations (HMOs) and preferred provider organizations (PPOs).

Purpose of the Study:

  • To trace the historical development of managed care.
  • To analyze the successes and failures of MCOs from government and industry perspectives.
  • To project the future of managed care under various healthcare reform scenarios.

Main Methods:

  • Historical review of managed care evolution.
  • Examination of government and insurance industry records.

Related Experiment Videos

  • Analysis of physician experiences within managed care settings.

    • Main Results:

    • Managed care plans have experienced exponential growth, impacting millions of Americans.
    • Current healthcare reform heavily relies on MCOs.
    • Physicians face challenges in managed care environments, necessitating a proactive approach.

    Conclusions:

    • Osteopathic physicians are urged to lead the shift towards managed care.
    • Developing a practitioner-friendly system is crucial for successful healthcare reform.
    • Primary care physicians can maintain patient advocacy and leadership roles within managed care.