Document Detail

Global theory and the nature of risk, Part I. How orthodox managed care stifles innovation.
MedLine Citation:
PMID:  10537747     Owner:  NLM     Status:  MEDLINE    
The growing awareness that managed care is rapidly unraveling has not only produced a good deal of alarm, but also a call for prognostications regarding the future. Unfortunately, old habits die hard, and wedded ideologies die even harder. Instead of paving the way for innovation, most managed care pundits refuse to read the tea leaves properly and acknowledge that the orthodox regime is irretrievably comatose. Not understanding the fundamental flaws inherent in the old model, many persevere with rehashed predictions that only echo the very non-starters that got us in the present jam in the first place. Managed care has so far focused its energies on integrating the wrong objects, insurance and care, with all the predictably bad effects. Part 2 of this article will explore what this means and introduce the global theory of managed care as an alternative vision. Global theory lays a new foundation based on a more sound microeconomic model of risk, bifurcated markets, global fees for integrated episodes of care, and most important of all, patient/physician sovereignty.
D W Emery
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Physician executive     Volume:  25     ISSN:  0898-2759     ISO Abbreviation:  Physician Exec     Publication Date:    1999 May-Jun
Date Detail:
Created Date:  1999-07-13     Completed Date:  1999-07-13     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  8610398     Medline TA:  Physician Exec     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  36-42     Citation Subset:  H    
Zoadigm Health Systems, Inc., Salt Lake City, UT, USA.
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MeSH Terms
Capitation Fee
Episode of Care
Health Care Sector
Managed Care Programs / economics,  organization & administration*
Models, Theoretical
Organizational Innovation*
Outcome Assessment (Health Care)
Physician-Patient Relations
Quality of Health Care
Risk Sharing, Financial
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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