|
Sign In to gain access to subscriptions and/or personal tools.
|
Behind the Curve: A Critical Assessment of How Little is Known about Arrangements between Managed Care Plans and Physicians
Marsha Gold
Mathematica Policy Research, Inc.
Lyle Nelson
Mathematica Policy Research, Inc.
Timothy Lake
Mathematica Policy Research, Inc.
Robert Hurley
Medical College of Virginia
Robert Berenson
RWJF IMPACS Program/CHPS, Georgetown University
Extraordinary growth in managed care arrangements over the past decade has been both widely praised and criticized. Proponents and critics agree that the nature of medical practice is being profoundly altered by this growth, even if they cannot articulate the direction and consequences of this change. We explore the roots of this uncertainty by examining the available evidence on critical features of the arrangements managed care plans currently have with affiliated physicians. Our approach is to review and synthesize the literature in several key substantive areas from a broad range of sources. We found that existing knowledge is dated, derived from a limited subset of plans, inattentive to important structural diferences between plans, and responsive to a very naorow set of issues poorly rflecting the range of medical practice and change introduced by managed care We highlight key questions of interest and the knowledge gaps critical to address so that policy and management decisions can both reflect and be informed on these issues that define the arrangements managed care plans make with physicians and ultimately influence medical practice.
Medical Care Research and Review, Vol. 52, No. 3,
307-341 (1995)
DOI: 10.1177/107755879505200301
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
M. A. Hall, E. Dugan, R. Balkrishnan, and D. Bradley
How Disclosing HMO Physician Incentives Affects Trust
Health Aff.,
March 1, 2002;
21(2):
197 - 206.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Brach, L. Sanches, D. Young, J. Rodgers, H. Harvey, T. McLemore, and I. Fraser
Wrestling with Typology: Penetrating the "Black Box" of Managed Care by Focusing on Health Care System Characteristics
Med Care Res Rev,
November 1, 2000;
57(3_suppl):
93 - 115.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. A. Pedersen, E. C. Rich, J. Kralewski, R. Feldman, B. Dowd, and T. S. Bernhardt
Primary Care Physician Incentives in Medical Group Practices
Arch Fam Med,
May 1, 2000;
9(5):
458 - 462.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. M. Shortell, T. M. Waters, K. W. B. Clarke, and P. P. Budetti
Physicians as Double Agents: Maintaining Trust in an Era of Multiple Accountabilities
JAMA,
September 23, 1998;
280(12):
1102 - 1108.
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. E. Grembowski, K. Cook, D. L. Patrick, and A. E. Roussel
Managed Care and Physician Referral
Med Care Res Rev,
March 1, 1998;
55(1):
3 - 31.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. B. Smith
Addressing Racial Inequities in Health Care: Civil Rights Monitoring and Report Cards
Journal of Health Politics Policy and Law,
January 1, 1998;
23(1):
75 - 105.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. B. Christianson, D. Wholey, and M. S. Peterson
Strategies for Managing Service Delivery in HMOs: An Application to Mental Health Care
Med Care Res Rev,
June 1, 1997;
54(2):
200 - 222.
[Abstract]
[PDF]
|
|
|
|
|
|
|
T. S. Bodenheimer and K. Grumbach
Capitation or Decapitation: Keeping Your Head in Changing Times
JAMA,
October 2, 1996;
276(13):
1025 - 1031.
[Abstract]
[PDF]
|
|
|
|
|
|
|
F. J. Hellinger
The Impact of Financial Incentives on Physician Behavior in Managed Care Plans: A Review of the Evidence
Med Care Res Rev,
September 1, 1996;
53(3):
294 - 314.
[Abstract]
[PDF]
|
|
|
|
|
