The Effect of Managed Care on Quality: A Review of Recent Evidence
Creator
Hellinger, Fred J.
Bibliographic Citation
Archives of Internal Medicine. 1998 Apr 27; 158(8): 833-841.
Abstract
This article reviews recent evidence about the relationship between managed care and quality. With one exception, the studies reviewed represent observation periods that extend through 1990 or a more recent year. The review has led to the conclusion that managed care has not decreased the overall effectiveness of care. However, evidence suggests that managed care may adversely affect the health of some vulnerable subpopulations. Evidence also suggests that enrollees in managed care plans are less satisfied with their care and have more problems accessing specialized services. In addition, younger, wealthier, and healthier persons were more satisfied with their health plans than older, poorer, and sicker persons, even after adjusting for the type of health plans. The findings of the studies reviewed do not provide definitive results about the effect of managed care on quality. Indeed, relatively few studies include data from the 1990s, and little is known about the newer types of health maintenance organizations that invest heavily in information systems and rely on financial incentives to alter practice patterns. Furthermore, managed care is not a uniform method that is applied identically by all health plans, and research studying the different dimensions of managed care also is needed.
Date
1998-04-27Subject
Aged; Attitudes; Consultation; Economics; Empirical Research; Evaluation; Health; Health Care; Health Maintenance Organizations; Health Services; Health Services Research; Incentives; Indigents; Managed Care Programs; Managed Care; Organizations; Patient Satisfaction; Patients; Referral and Consultation; Research; Review; Social Impact; Vulnerable Populations;
Collections
Metadata
Show full item recordRelated items
Showing items related by title, author, creator and subject.
-
The Effect of Managed Care on Quality: A Review of Recent Evidence
Hellinger, Fred J. (1998-04-27) -
The Impact of Financial Incentives on Physician Behavior in Managed Care Plans: A Review of the Evidence
Hellinger, Fred J. (1996-09) -
Status of Insurance Coverage for Organ Transplants in the United States: A Review of Recent Surveys
Hellinger; Fred J.; Korper, Samuel; Vang, Johannes; and Weissman, Norman (1986-07)