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Does managed care mean more hassle for physicians?

Article Abstract:

This study found that physicians do not spend more time on the administration of managed care plans than they had on other insurance-related issues before managed care was introduced.

Author: Newhouse, Joseph P., Remler, Dahlia K., Gray, Bradley M.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2000
Statistical Data Included, Physicians, Medical professions

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Does capitation matter? Impacts on access, use, and quality

Article Abstract:

The impact of capitating the usual source of care of enrollees in health maintenance organizations (HMOs) is examined.

Author: Hill, Steven C., Zuvekas, Samuel H.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2004
Management dynamics, Hospital and medical service plans, Analysis, Economic aspects, Company business management

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What do managed care plans do to affect care? Results from a survey of physicians

Article Abstract:

High medical costs in the US have prompted health care providers to seek various cost-cutting measures, as revealed by a survey conducted on 2003 physicians. Among the managed care techniques studied, utilization review (UR) and discounted fees were the most widely adopted by patients and physicians. In fact, UR accounted for 59% of the total patients surveyed, while discounted fees contributed an average of 38%. Results further revealed that implementation of managed care significantly varies among states, particularly in terms of payment systems, profiling and guideline usage.

Author: Newhouse, Joseph P., Leape, Lucian L., Remler, Dahlia K., Blendon, Robert J., Lundberg, George D., Calkins, David R., Donelan, Karen, Binns, Katherine
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1997
Health Care and Social Assistance, Offices & clinics of medical doctors, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Personal Health Care, Evaluation, Health care industry, Medical care, Medical care utilization, Self care (Health)

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Subjects list: United States, Management, Managed care plans (Medical care), Health maintenance organizations, Capitated payment systems (Medical care)
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