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Managed care and traditional insurance

Comparing quality of care

Bibliographic Data

ID9970393
AuthorsDaniel Simonet (0000-0001-6775-8201, Nanyang Academy of Fine Arts, corresponding author)
Year2003
Volume56
Issue1
Pages95-114
Publication date2003-01-01
Open AccessYes
TypeARTICLE
VenueInternational Social Security Review (JOURNAL)
Journal identifiersISSN: 0020-871X • E-ISSN: 1468-246X
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1468-246x.00151
OpenAlexW2095094269
LanguageEN

The article compares quality of care under the traditional “fee–for–service” system with that given by “managed care” providers in the United States. Outcomes have been mixed, with most studies reporting on one hand a decline in the propensity of patients of health maintenance organizations (HMOs) to seek treatment and, on the other, lower patient satisfaction. The quality of care has not deteriorated, however, except in the case of that given to vulnerable patients

Actuarial science · Business · Economic growth · Economics · Fee-for-service · Health care · Health insurance · Health maintenance · Managed care · Preferred provider organization · Quality (philosophy · Healthcare Policy and Management · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes

Highly citedNo

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