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Managed care and traditional insurance: Comparing quality of care
Author(s) -
Simonet Daniel
Publication year - 2003
Publication title -
international social security review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.349
H-Index - 28
eISSN - 1468-246X
pISSN - 0020-871X
DOI - 10.1111/1468-246x.00151
Subject(s) - managed care , quality (philosophy) , business , health insurance , health care , preferred provider organization , fee for service , actuarial science , patient satisfaction , nursing , family medicine , operations management , medicine , marketing , economic growth , economics , philosophy , epistemology
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.