Must Good HMOs Go Bad? First of Two Parts: The Commercialization of Prepaid Group Health Care
New England Journal of Medicine. 1998 May 21; 338(21): 1558-1563.
...In sum, although nonprofit status seems to be conducive to a less harsh form of managed care, it is no guarantee. The relentless pressure to cut costs will undoubtedly continue. The key question is whether counter-pressures will provide adequate checks and balances. In principle, counter-pressures can be generated by informed consumers with a meaningful choice of competing plans, professional ethics, the quality movement, industry self-regulation, and the growing bipartisan drive for government regulation. I will address these issues in Part 2 of this report.
Consultation; Economics; Entrepreneurship; Ethics; Gatekeeping; Goals; Government; Government Regulation; Health; Health Care; Incentives; Industry; Medical Specialties; Medicine; Managed Care; Organizational Policies; Organizations; Patient Satisfaction; Physicians; Preventive Medicine; Primary Health Care; Professional Ethics; Quality of Health Care; Regulation; Remuneration; Withholding Treatment;
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