With a defined population served, contracted provider panels and the nature of care delivery integration, managed care has provided a solution, though not a panacea, to provide equitable services, standardized and prevention oriented cares to its enrolled members. Combined with the earmarked capitation reimbursement system and a series of cost containment and utilization review techniques, managed care has also demonstrated potently its capacity in cost‐saving and quality promotion. Presents steps and measures related to managed care that federal government has taken to manage care and contain cost. It is crucial to identify and promulgate best practices continually, while managing utilization of resources for improving health care, containing cost, and equalizing medical care access to a greater proportion of the population. Concludes that it may take time for a universal adoption of managed care. However, Americans may actually benefit more from having a standard level of health care that managed care could achieve and provide.
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1 December 2001
Review Article|
December 01 2001
Managing costs and managing care Available to Purchase
Patrick Asubonteng Rivers;
Patrick Asubonteng Rivers
Graduate School of Health Administration and Policy, College of Business, Arizona State University, Tempe, Arizona, USA
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Kai‐Li Tsai
Kai‐Li Tsai
Program of Health Administration, School of Nursing and Health Science, Texas A & M University, Corpus Christi, Texas, USA
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Publisher: Emerald Publishing
Online ISSN: 1758-6542
Print ISSN: 0952-6862
© MCB UP Limited
2001
Int J Health Care Qual Assur (2001) 14 (7): 302–307.
Citation
Asubonteng Rivers P, Tsai K (2001), "Managing costs and managing care". Int J Health Care Qual Assur, Vol. 14 No. 7 pp. 302–307, doi: https://doi.org/10.1108/09526860110409054
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