Organizing for effective managed care contracting.
While many forums have debated the fairness and ethical implications of managed care arrangements, it is unlikely that physicians will escape practicing within fixed budgets in the future; the economics of health care simply requires it. Although a backlash has developed against managed care, it is actually more recognition of how pervasive it has become, rather than any threat to its existence. Currently managed care comprises the majority of commercial insurance, is making substantial inroads into Medicaid, and is challenging the reductions in Medicare reimbursement by dropping plans at a time when the Federal government's entire strategy for controlling Medicare costs is based upon managed care through its Medicare+Choice program.
Mayer
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Institute for Healthcare Advancement, 16171 Santa Barbara Lane, Huntington Beach, CA 92649, USA. mayerandmayer@msn.com
D003098:Collective Bargaining; D003284:Contract Services / Q000458:organization & administration*; D006123:Group Practice; D006801:Humans; D007193:Independent Practice Associations; D008329:Managed Care Programs / Q000458:organization & administration*; D017146:Models, Organizational; D017008:Negotiating; D011216:Practice Management, Medical / Q000458:organization & administration*; D014481:United States