To the Editor: The Clinton administration promises to make managedcare the cornerstone of our new health policy. Because all thesesystems place the burden of managing on the primary care physician,it is important for the public and health planners to understandhow the American insurance industry -- in its desire to "manage"costs -- needlessly wastes physicians' time and energy, increasesthe cost of delivering care, and mangles the continuity of care.
In my urban practice I participate in 29 different managed-careplans, each with its own panel of physicians, consultants, hospitals,and diagnostic facilities. As a result, . . . [Full Text of this Article]
This article has been cited by other articles:
Puma, J. L.
(1994). Anticipated Changes in the Doctor-Patient Relationship in the Managed Care and Managed Competition of the Health Security Act of 1993. Arch Fam Med
3: 665-671
[Abstract]
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