The impact of managed care on physicians.
This article examines the forces that led to managed care and considers its two main thrusts: traditional indemnity, with controls and constraints through utilization review, and controlled access and reimbursement, as seen in the HMO model. The strategies available to the physician are discussed, suggesting how managed care can itself be managed. Finally, the evolution of managed care is shown to be in a final phase, wherein efficient and effective physicians are identified by computer data for selective contracting, leaving a sizeable minority of (potentially) unemployed physicians.
Jensen
H L
HL
Ingalls Memorial Hospital, Harvey, IL 60426.
D003284:Contract Services / Q000331:legislation & jurisprudence; D003363:Cost Control; D004465:Economic Competition; D005544:Forecasting; D008329:Managed Care Programs / Q000458:organization & administration / Q000639:trends*; D010819:Physician's Role; D011216:Practice Management, Medical / Q000191:economics; D014481:United States; D014600:Utilization Review / Q000458:organization & administration