Conflicts of interest and accountability in managed care: the aging of medical ethics
Article Abstract:
Medical ethics has shifted from physician accountability to managed care organization (MCO) accountability. Until the mid-1800's, physicians were personally responsible for their decisions. Then they became accountable to a professional group. This was followed in the 1970's by accountability to an organization. MCO's may follow the same pattern of responsibility when they become accountable to trade associations, accrediting bodies and state and federal governments.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 1998
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Managed care and the goals of medicine
Article Abstract:
Managed care organizations have fundamental conflicts when it comes to supporting the goals of most physicians. For-profit organizations in particular will be unlikely to forgo profits in order to provide quality medical care. They certainly will not recruit members who cannot afford to pay the premium. Even non-profits may not reach out to those who cannot pay. Thus, government incentives may be required to achieve universal coverage.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 1998
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