Journal article
MANAGED CARE ORGANIZATIONS AND PATIENT INJURY: RETHINKING LIABILITY
Georgia Law Review, Vol.31, pp.419-1259
01 Jan 1997
Abstract
Introduction Managed care is rapidly reshaping the practice of medicine in the United States. The move toward managed care has grown into a torrent as private employers, states, and the federal government struggle with escalating health care costs. 1 Managed care organizations (MCOs) such as health maintenance organizations (HMOs) and independent practice associations (IPAs) have become a major force in health care delivery because they promise lower cost care at a time when employers and the government are obsessed with the escalating costs of health care. 2 In 1994, national health care costs rose just 6.4%, in contrast to an average increase in health care costs of 14.6% per year from 1980 to 1985, and 12.6% from 1985 to 1990. 3 Managed care contributed to this slowing in the growth of health care costs by extracting a discount from physicians, who in many cases had to cut their fees by forty to seventy percent to be part of managed care networks, and by reducing hospitalization rates and lengths of stay. Managed care has rapidly supplanted fee-for-service medicine in many sections of the country. 4 Physician practices, group practices, hospitals, other health care organizations, and now insurers are combining into systems. Some are integrated, with salaried physicians and their own hospitals, while others integrate through elaborate contractual arrangements. 5 Large regional group practices and health systems are emerging. The number of Americans enrolled in health maintenance organizations went from 36.5 million in 1990 to 50.2 million by ...
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Details
- Title
- MANAGED CARE ORGANIZATIONS AND PATIENT INJURY: RETHINKING LIABILITY
- Creators
- Barry R. Furrow
- Publication Details
- Georgia Law Review, Vol.31, pp.419-1259
- Publisher
- Georgia Law Review Association Georgia Law Review
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Thomas R. Kline School of Law
- Identifiers
- 991020542447304721