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Medical Practice under Managed Care: Cost-control Mechanisms and Impact on Quality of Service

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  • Daniel Simonet

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Abstract

The paper investigates the US experience of Managed Care. It describes the cost controlling measures and the new modes of payment that were implemented along with managed Care. Using theory and field surveys, it reviews how these measures have affected physician practices. The paper also investigates their impact on the quality of health services. Copyright Springer Science + Business Media, Inc. 2005

Suggested Citation

  • Daniel Simonet, 2005. "Medical Practice under Managed Care: Cost-control Mechanisms and Impact on Quality of Service," Public Organization Review, Springer, vol. 5(2), pages 157-176, June.
  • Handle: RePEc:kap:porgrv:v:5:y:2005:i:2:p:157-176
    DOI: 10.1007/s11115-005-0954-8
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    File URL: http://hdl.handle.net/10.1007/s11115-005-0954-8
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    References listed on IDEAS

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    1. Cromwell, Jerry & Mitchell, Janet B., 1986. "Physician-induced demand for surgery," Journal of Health Economics, Elsevier, vol. 5(4), pages 293-313, December.
    2. Charles M. Tiebout, 1956. "A Pure Theory of Local Expenditures," Journal of Political Economy, University of Chicago Press, vol. 64, pages 416-416.
    3. Fuchs, Victor R., 1986. "Physician-induced demand: A parable," Journal of Health Economics, Elsevier, vol. 5(4), pages 367-367, December.
    4. B Hutchison & S Birch & J Hurley & J Lomas & F Stratford-Devai, 1994. "Do Physician Payment Mechanisms Affect Hospital Utilization? A Study of Health Service Organizations in Ontario," Centre for Health Economics and Policy Analysis Working Paper Series 1994-02, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
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    Keywords

    HMO; Managed Care; patient; US; physician payment;

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