Financial incentives lowered health care utilization in managed care plans but some aspects of clinical practice did not appear to be price-sensitive

1997 ◽  
Vol 1 (3) ◽  
pp. 58
Author(s):  
JA Muir Gray
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Managed Care ◽  
Health Care Utilization ◽  
Financial Incentives ◽  
Care Utilization ◽  
Care Plans

The Role of the Courts in Shaping Health Policy: An Empirical Analysis

2001 ◽  
Vol 29 (3-4) ◽  
pp. 278-289 ◽  
Author(s):  
Peter D. Jacobson ◽  
Elizabeth Selvin ◽  
Scott D. Pomfret
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Managed Care ◽  
Cost Containment ◽  
Financial Incentives ◽  
Access To Health Care ◽  
Care Delivery ◽  
Care Utilization ◽  
Allocation Decisions ◽  
Resource Allocation Decisions

The transformation of health-care delivery from fee-for-service medicine to managed care represents a fundamental philosophical shift away from the prevailing medical ethos that the needs of the individual patient take precedence over competing social values, such as reducing health-care costs. In managed care, financial incentives to reduce health-care utilization may result in denying an individual’s claim for medical services.Litigation challenging managed care’s resource allocation decisions often presents the need to resolve conflicting social policy goals, such as the tension between an individual patient’s access to health care and a managed care organization’s (MCO’s) need to restrain costs. Conflicts may arise when a patient’s desire for unconstrained health care clashes with a provider’s and an insurer’s cost containment strategies. In turn, cost containment strategies may raise questions about restrictions on physician autonomy and conflicts among stakeholders for control over resource allocation decisions.

scholarly journals Treatment Costs and Health Care Utilization for Patients with Bipolar Disorder in a Large Managed Care Population

2008 ◽  
Vol 11 (3) ◽  
pp. 416-423 ◽  
Author(s):  
Jeff J. Guo ◽  
Paul E. Keck ◽  
Hong Li ◽  
Raymond Jang ◽  
Christina M.L. Kelton
Keyword(s):  
Health Care ◽  
Bipolar Disorder ◽  
Managed Care ◽  
Health Care Utilization ◽  
Treatment Costs ◽  
Care Utilization
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