Episodes of care: an overview of legal and regulatory issues.
The use of managed care, with its chief goal of delivering cost-efficient health coverage, predominates the American health benefit arena. Though the advent of managed care unquestionably has saved billions of dollars since the late 1980s, patients raised on a diet of unfettered treatment have seen choices decrease and care diminish. "Episodes of care," in which teams of professionals contract to provide an entirety of health care services involved with a given procedure in exchange for a fixed, global fee, allows for broader choices for patients at competitive costs for insurers.
Krane
D W
DW
Drinker Biddle & Reath, LLP, Philadelphia, Pennsylvania, USA.
McNair
R M
RM
Greenwood
B J
BJ
Kramer
K M
KM
D016363:Antitrust Laws; D002204:Capitation Fee; D017046:Cost Savings; D017050:Episode of Care; D018588:Fee-for-Service Plans; D005607:Fraud / Q000331:legislation & jurisprudence; D017754:Group Purchasing / Q000331:legislation & jurisprudence; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000331:legislation & jurisprudence*; D020414:Risk Sharing, Financial / Q000331:legislation & jurisprudence*; D014481:United States