Journal article
REGULATING THE MANAGED CARE REVOLUTION: PRIVATE ACCREDITATION AND A NEW SYSTEM ETHOS
Villanova Law Review, Vol.43, pp.361-1023
01 Jan 1998
Abstract
"The notion that some sort of automatic, self-regulating marketlike structure can be established that will substitute for public management and yet achieve public objectives is a fantasy: powdered unicorn horn." 1 I. Introduction AMERICA spends considerably more per capita on health care than do other industrialized countries. 2 The good news is that the rate of growth of health expenditures continues to drop. 3 In 1996, national health expenditures increased only 4.4%, the slowest growth since 1960. 4 The growth rate between 1993 and 1996 averaged five percent, in contrast to the 11.7% average growth between 1966 and 1993. 5 As private employers, states and the federal government have lowered the rate of increase in health care costs, managed care continues to reshape the practice of medicine in the United States. 6 Managed care organizations (MCOs) have provided the basic framework for American health care delivery because of their success in slowing health care cost inflation. 7 Managed care has achieved this slowdown by extracting a discount from physicians, who often reduced their fees from forty percent to seventy percent to be part of managed care networks, and by reducing hospitalization rates and lengths of stay. 8 State Medicaid agencies are converting to managed care, with capitated plans accounting for up to seventy percent of the market. Medicare is also moving toward managed care. 9 Managed care is rapidly supplanting fee-for-service (FFS) medicine all over the country. 10 Physician practices, group practices, hospitals, other health care organizations and ...
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Details
- Title
- REGULATING THE MANAGED CARE REVOLUTION: PRIVATE ACCREDITATION AND A NEW SYSTEM ETHOS
- Creators
- Barry R. Furrow
- Publication Details
- Villanova Law Review, Vol.43, pp.361-1023
- Publisher
- Villanova University Villanova Law Review
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Thomas R. Kline School of Law
- Identifiers
- 991020542438904721