| The death of managed care: a regulatory autopsy. | |
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MedLine Citation:
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PMID: 16089111 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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On the heels of widespread patient protection legislation in the states, the managed care industry abandoned or greatly scaled back the core elements of gate-keeping, utilization management, and financial incentives, which are the very targets of this legislation. This article explores whether, and to what extent, the industry's abrupt change in course can be attributed to these laws. Based on extensive interviews with key informants in six representative states, the article concludes that these laws were not the primary driver of changes in managed care practices. However, patient protection laws interacted with other social and market forces, through complex forms of feedback and reinforcement, to bring about more thoroughgoing change than would have otherwise occurred. |
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Authors:
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Mark A Hall |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of health politics, policy and law Volume: 30 ISSN: 0361-6878 ISO Abbreviation: J Health Polit Policy Law Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-08-10 Completed Date: 2005-10-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7609331 Medline TA: J Health Polit Policy Law Country: United States |
Other Details:
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Languages: eng Pagination: 427-52 Citation Subset: IM |
Affiliation:
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Wake Forest University, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Gatekeeping
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organization & administration Interviews as Topic Managed Care Programs / legislation & jurisprudence*, organization & administration Organizational Innovation Patient Rights Reimbursement, Incentive United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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