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Previous Volume 334:543-545 February 22, 1996 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In this decade of cost containment in medicine,^1,2 many of us have encountered insurance carriers that denied coverage for certain medically indicated procedures or treatments. Managed care has also led to centralized planning and reimbursement for expensive treatments such as organ transplantation, with some insurers restricting the choice of institution on a contractual basis. Those of us in academic medicine have had less experience with these phenomena than other physicians, but that fact is rapidly changing.³ A recent experience at our institution highlights the ethical conflicts that can arise during the referral of a patient in a managed-care system.

A . . . [Full Text of this Article]

Source Information

University of North Carolina at Chapel Hill
Chapel Hill, NC 27599

References

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This article has been cited by other articles:

• Miller, T. E. (1997). Managed Care Regulation: In the Laboratory of the States. JAMA 278: 1102-1109 [Abstract]  
• Salmon, D., Middleton, F., Balducci, L., Peters, S. G., Levinsky, N. G. (1996). Barriers to Patients' Rights. NEJM 335: 136-137 [Full Text]  
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• Levinsky, N. G. (1996). Social, Institutional, and Economic Barriers to the Exercise of Patients' Rights. NEJM 334: 532-534 [Full Text]